| Jennifer E Blease, | |
|
1153 Boughton St Apt 14g, Watertown, WI 53094-3112 | |
| (920) 285-7015 | |
| Not Available |
| Full Name | Jennifer E Blease |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 4 Years |
| Location | 1153 Boughton St Apt 14g, Watertown, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720719834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12608-123 (Wisconsin) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19589-130 (Wisconsin) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cornerstone Counseling Services Inc | 1456256023 | 338 |
| Entity Name | Cornerstone Counseling Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033127246 PECOS PAC ID: 1456256023 Enrollment ID: O20031205000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer E Blease, 1153 Boughton St Apt 14g, Watertown, WI 53094-3112 Ph: (920) 285-7015 | Jennifer E Blease, 1153 Boughton St Apt 14g, Watertown, WI 53094-3112 Ph: (920) 285-7015 |
Miss Nadine May Gilbert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 763 Milford St, Frontier Mental Health Clinic, Watertown, WI 53094 Phone: 920-206-6115 Fax: 920-206-6106 |
Ms. Amy Lynn Mauel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1315 W Main St, Watertown, WI 53094 Phone: 920-261-4100 Fax: 920-261-8801 |
Hope Rohlen Ruedin, MSW, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 818 West St Ste 814, Watertown, WI 53094 Phone: 920-545-4357 |
Gwendolyn J Olson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 302 N 3rd St Ste 112, Watertown, WI 53094 Phone: 920-212-1445 |
Mrs. Sarah J Fredrich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 312 E Main St Ste 210, Watertown, WI 53094 Phone: 920-215-2008 |
Ms. Kathleen M O Neill, MSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 129 Hospital Dr, Watertown, WI 53098 Phone: 920-262-4800 Fax: 920-262-4813 |
Ms. Diane M Savides, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1315 W Main St, Watertown, WI 53094 Phone: 920-261-4100 Fax: 920-261-8801 |