| Ms Jonetta Bracken, LCSW CSAC | |
|
3173 W Sexton St, Springfield, MO 65810-1297 | |
| (262) 402-2494 | |
| Not Available |
| Full Name | Ms Jonetta Bracken |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3173 W Sexton St, Springfield, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184144123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8676-123 (Wisconsin) | Primary |
| 104100000X | Social Worker | 6801120163 (Michigan) | Secondary |
| Entity Name | Progressive Community Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720153653 PECOS PAC ID: 2466366059 Enrollment ID: O20031118000358 |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Entity Name | Oconto Hospital & Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836 |
| Entity Name | Richard Kneip Phd Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20220826002066 |
| Entity Name | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240729000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jonetta Bracken, LCSW CSAC 1655 N Mayfair Rd, Milwaukee, WI 53226-3076 Ph: (262) 402-2494 | Ms Jonetta Bracken, LCSW CSAC 3173 W Sexton St, Springfield, MO 65810-1297 Ph: (262) 402-2494 |
Mrs. Miriam E Green, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1330 E Cherry St, Springfield, MO 65802 Phone: 417-862-1377 | |
Renee Ann Jenkins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1550 E Sunshine St, Springfield, MO 65804 Phone: 417-883-7500 | |
Makayla Mae Stanton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 230 N Belcrest Ave, Suite A, Springfield, MO 65802 Phone: 417-413-4676 | |
Allison J Robertson, MSW, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1300 E Bradford Pkwy Bldg B, Springfield, MO 65804 Phone: 417-761-5000 | |
Jessica A Aldrich, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1423 N Jefferson Ave Fl 3, Springfield, MO 65802 Phone: 417-761-5000 | |
Linda E Maddox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3263 E Lombard St, Springfield, MO 65802 Phone: 417-860-3705 | |
Elizabeth Marie Mendenhall, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 440 S Market Ave, Springfield, MO 65806 Phone: 417-865-5581 |