| Megan E Dittrich, LCSW | |
|
1245 Cheyenne Ave, Grafton, WI 53024-9323 | |
| (203) 331-2297 | |
| Not Available |
| Full Name | Megan E Dittrich |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1245 Cheyenne Ave, Grafton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700696465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12765-123 (Wisconsin) | Primary |
| Entity Name | Lutheran Counseling and Family Services of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184703290 PECOS PAC ID: 4587565742 Enrollment ID: O20040120000343 |
| Entity Name | American Behavioral Clinics SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144313859 PECOS PAC ID: 7517937964 Enrollment ID: O20040731000040 |
| Entity Name | Behavioral Health Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831442359 PECOS PAC ID: 8628409885 Enrollment ID: O20200504002000 |
| Mailing Address | Practice Location Address |
|---|---|
| Megan E Dittrich, LCSW 176 W Tripoli Ave, Milwaukee, WI 53207-3847 Ph: (203) 331-2297 | Megan E Dittrich, LCSW 1245 Cheyenne Ave, Grafton, WI 53024-9323 Ph: (203) 331-2297 |
Saersi Seanez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 361 Falls Rd # 688, Grafton, WI 53024 Phone: 608-668-4035 |
Elizabeth Miecielica, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1971 Washington St Ste 200, Grafton, WI 53024 Phone: 262-377-6276 |
Andrea B Knowlton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 411 Falls Road Ste 100 Pmb 803, Grafton, WI 53024 Phone: 920-698-1560 |