| Lacey Kimpel, LCSW | |
|
1737 Erin Ln, Waukesha, WI 53188-4800 | |
| (262) 613-9478 | |
| Not Available |
| Full Name | Lacey Kimpel |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1737 Erin Ln, Waukesha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285010009 | NPI | - | NPPES |
| 1285010009 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9776-123 (Wisconsin) | Primary |
| Entity Name | Andromeda Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144894494 PECOS PAC ID: 7618375692 Enrollment ID: O20211005002156 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Kimpel, LCSW 1737 Erin Ln, Waukesha, WI 53188-4800 Ph: () - | Lacey Kimpel, LCSW 1737 Erin Ln, Waukesha, WI 53188-4800 Ph: (262) 613-9478 |
Ms. Natasha Jean Pinkerton, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-1000 | |
Mr. Jerome Michael Loberg, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1501 Airport Rd., Waukesha, WI 53188 Phone: 262-548-7930 | |
Ms. Lori B Mcilroy, LCSW, CSAC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 500 Riverview Ave, Waukesha, WI 53188 Phone: 262-548-7655 | |
Cindy M Sywyk, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 721 American Ave, Suite 501, Waukesha, WI 53188 Phone: 262-928-2396 Fax: 262-544-1213 | |
Gary Swan, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2607 N Grandview Blvd, Suite 104, Waukesha, WI 53188 Phone: 262-446-9981 Fax: 262-446-9983 | |
Robert K Porter, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 721 American Ave, Suite 501, Waukesha, WI 53188 Phone: 262-928-2396 Fax: 262-544-1213 | |
Susan L Driscoll, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1501 Airport Rd, Waukesha, WI 53188 Phone: 262-548-7950 |