| Lee A Kutchenriter, LCSW | |
|
1095 Midway Rd, Menasha, WI 54952-1115 | |
| (920) 720-2300 | |
| Not Available |
| Full Name | Lee A Kutchenriter |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 1095 Midway Rd, Menasha, 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 |
|---|---|---|---|
| 1376069930 | NPI | - | NPPES |
| 100089227 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9930-123 (Wisconsin) | Primary |
| 104100000X | Social Worker | 6801101371 (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thedacare Incorporated | 1759294887 | 533 |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Entity Name | Thedacare Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Lee A Kutchenriter, LCSW 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 720-2300 | Lee A Kutchenriter, LCSW 1095 Midway Rd, Menasha, WI 54952-1115 Ph: (920) 720-2300 |
Ms. Vicki Lee Lafountain, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1478 Kenwood Ctr, Menasha, WI 54952 Phone: 920-886-9319 Fax: 920-886-9357 | |
Jill M Cisar, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300 Fax: 920-720-3806 | |
Willard J Secor Jr., MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1810 Appleton Rd, Menasha, WI 54952 Phone: 920-739-4226 Fax: 920-432-5966 | |
Heather Mattson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1810 Appleton Rd, Menasha, WI 54952 Phone: 920-739-4226 Fax: 920-739-7639 | |
Ms. Judith Margaret Doersch, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1478 Kenwood Dr, Menasha, WI 54952 Phone: 920-720-5839 | |
Cassandra A Carlson, MSW, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1810 Appleton Rd, Menasha, WI 54952 Phone: 920-739-4226 Fax: 920-437-3540 | |
Bayley C Lind, MSW, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1810 Appleton Rd, Menasha, WI 54952 Phone: 920-739-4226 Fax: 920-437-3540 |