| Mr John Lewis Rocha Ii, LCSW | |
|
4006 Washington Rd, Kenosha, WI 53144-4819 | |
| (262) 656-0044 | |
| Not Available |
| Full Name | Mr John Lewis Rocha Ii |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 4006 Washington Rd, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962912287 | NPI | - | NPPES |
| 100285135 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11992-123 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 149.019738 (Illinois) | Secondary |
| Entity Name | County Of Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013920750 PECOS PAC ID: 7214838861 Enrollment ID: O20040116000192 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Lewis Rocha Ii, LCSW 4006 Washington Rd, Kenosha, WI 53144-4819 Ph: (262) 656-0044 | Mr John Lewis Rocha Ii, LCSW 4006 Washington Rd, Kenosha, WI 53144-4819 Ph: (262) 656-0044 |
Jaswinder Maan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6126 49th Ave, Kenosha, WI 53142 Phone: 224-538-9376 | |
Linda M. Tiso, MSW, LCSW, SAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3535 30th Ave, Suite 202, Kenosha, WI 53144 Phone: 262-842-0500 Fax: 262-842-0502 | |
Kathryn Ann Aalto, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3734 7th Ave, Suite 12, Kenosha, WI 53140 Phone: 262-654-9370 Fax: 262-654-9379 | |
Stephani Diagne, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12225 71st St, Kenosha, WI 53142 Phone: 262-948-4870 | |
David S Meyers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 60th St, Kenosha, WI 53140 Phone: 262-654-5333 Fax: 262-654-7818 | |
Nicholas Olsen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-674-3718 | |
Victoria Mahboub, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6014 41st Ave, Kenosha, WI 53142 Phone: 262-818-3531 |