| Ms Alegra N Fowler, LCSW | |
|
102 E Green Bay St Ste 101, Shawano, WI 54166-2444 | |
| (715) 280-8130 | |
| (715) 280-8138 |
| Full Name | Ms Alegra N Fowler |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 102 E Green Bay St Ste 101, Shawano, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962056382 | NPI | - | NPPES |
| 1637 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9136-123 (Wisconsin) | Primary |
| Entity Name | Sweetgrass Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508574328 PECOS PAC ID: 5597202556 Enrollment ID: O20240808000470 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Alegra N Fowler, LCSW 102 E Green Bay St Ste 101, Shawano, WI 54166-2444 Ph: (715) 280-8130 | Ms Alegra N Fowler, LCSW 102 E Green Bay St Ste 101, Shawano, WI 54166-2444 Ph: (715) 280-8130 |
Lindsey A Wilichowski, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: W7327 Anderson Ave, Shawano, WI 54166 Phone: 715-526-4700 Fax: 715-526-5542 | |
Laurie Ann Roberts, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 310 S Bartlett St, Shawano, WI 54166 Phone: 715-526-3666 Fax: 715-526-3666 | |
Mrs. Torri Jean Gillis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Road, Shawano, WI 54166 Phone: 715-526-4700 Fax: 715-526-5542 | |
John A. Mueller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 324 S Andrews St, Shawano, WI 54166 Phone: 715-524-4840 | |
Rebecca Setterman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Rd, Shawano, WI 54166 Phone: 715-526-4700 Fax: 715-526-5542 | |
David Randall Block, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 800-501-8247 Fax: 715-524-1554 | |
Mrs. Eleanor Kline Claycomb, M.ED L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Rd, Shawano, WI 54166 Phone: 715-526-5547 Fax: 715-526-5542 |