| Kristin Elizabeth Wilson, CAPSW DSPS 121-1146 | |
|
1532 W Broadway Ste 202, Monona, WI 53713-1828 | |
| (608) 661-2829 | |
| (608) 661-0907 |
| Full Name | Kristin Elizabeth Wilson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1532 W Broadway Ste 202, Monona, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285358812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 121-1146 (Wisconsin) | Primary |
| Entity Name | Lake City Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679755987 PECOS PAC ID: 6103995477 Enrollment ID: O20080513000680 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Elizabeth Wilson, CAPSW DSPS 121-1146 1532 W Broadway Ste 202, Monona, WI 53713-1828 Ph: (608) 661-2829 | Kristin Elizabeth Wilson, CAPSW DSPS 121-1146 1532 W Broadway Ste 202, Monona, WI 53713-1828 Ph: (608) 661-2829 |
Carolyn Pierre, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6320 Monona Dr, Suite 415, Monona, WI 53716 Phone: 608-455-6070 Fax: 608-455-6070 | |
Daniel E Di Cerbo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6400 Gisholt Dr, Suite 100, Monona, WI 53713 Phone: 608-256-5030 | |
Vanessa Hodgson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5900 Monona Dr, Suite 300, Monona, WI 53716 Phone: 608-712-3980 | |
Ms. Ann Marie Bohlman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4915 Monona Dr, Suite 305, Monona, WI 53716 Phone: 608-223-1506 Fax: 608-223-1745 | |
Jennifer Lynn Cummings, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5900 Monona Dr, Water Tower Place Suite 100, Monona, WI 53716 Phone: 608-663-0763 Fax: 608-663-0765 | |
Bethany Joy Woychik, LCSW, SAC-IT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 Engel St Ste 201, Monona, WI 53713 Phone: 608-455-6070 | |
Suzanne Reuschlein Gruen, MSSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5900 Monona Dr, Suite 100- Samaritan Counseling Center, Monona, WI 53716 Phone: 608-663-0763 |