| Michael Vienneau, LCSW | |
|
100 Business Park Cir Ste 201, Stoughton, WI 53589-5501 | |
| (608) 445-0673 | |
| Not Available |
| Full Name | Michael Vienneau |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 100 Business Park Cir Ste 201, Stoughton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720842867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8409-123 (Wisconsin) | Primary |
| Entity Name | Velvaere Mental Health Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770346702 PECOS PAC ID: 1456893403 Enrollment ID: O20240606001074 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Vienneau, LCSW 148 Forton St, Stoughton, WI 53589-1604 Ph: (608) 445-0673 | Michael Vienneau, LCSW 100 Business Park Cir Ste 201, Stoughton, WI 53589-5501 Ph: (608) 445-0673 |
Mr. David W Druckenbrod, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1520 Vernon St, Stoughton, WI 53589 Phone: 608-873-6422 | |
Samantha Mcfarland, MSW, BSW, SAC-IT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Business Park Cir Ste 202, Stoughton, WI 53589 Phone: 608-205-8308 | |
Jean Ligocki, MSW, LCSW, CT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Giles St, Stoughton, WI 53589 Phone: 608-572-3469 | |
Moira O'brien, MSW, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3185 Deer Point Dr Ste A, Stoughton, WI 53589 Phone: 608-873-7838 | |
Jeffrey L Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 Vernon St, Stoughton, WI 53589 Phone: 608-873-1844 Fax: 608-873-6014 | |
Ms. Nancy A Shorrock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 Vernon St, Stoughton, WI 53589 Phone: 608-873-6422 | |
Mary Allen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 113 E Main St, Stoughton, WI 53589 Phone: 608-449-7201 |