| Katherine Marie Hulbert, LCSW | |
|
809 Park Ave, Beaver Dam, WI 53916-2205 | |
| (920) 887-3171 | |
| (920) 887-8622 |
| Full Name | Katherine Marie Hulbert |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 20 Years |
| Location | 809 Park Ave, Beaver Dam, 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 |
|---|---|---|---|
| 1548607963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7938-123 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 149.012494 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Open Door Center For Change, Llc | 2860598711 | 12 |
| Entity Name | Open Door Center For Change, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215068069 PECOS PAC ID: 2860598711 Enrollment ID: O20070509000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Marie Hulbert, LCSW 6502 Grand Teton Plaza Suite 206, Madison, WI 53719-1047 Ph: (608) 827-7220 | Katherine Marie Hulbert, LCSW 809 Park Ave, Beaver Dam, WI 53916-2205 Ph: (920) 887-3171 |
Sarah Soltis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: N7801 County Road Fw, Beaver Dam, WI 53916 Phone: 262-442-1406 | |
Ms. Amy Scott, CSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-821-0071 | |
Rachel Hau, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 N Center St, Beaver Dam, WI 53916 Phone: 920-887-1766 | |
Justyce Alexandria Wandersee, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 N Center St, Beaver Dam, WI 53916 Phone: 920-877-1766 | |
Mrs. Phyllis Ann Pleuss, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 North Center Street, Lutheran Social Services, Beaver Dam, WI 53916 Phone: 920-887-3172 | |
Shelby Ann Brandsma, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-821-0071 |