| Roger Blanchard, MSW, LCSW | |
|
101 E Pier St, Port Washington, WI 53074-1939 | |
| (262) 284-3117 | |
| (262) 284-3087 |
| Full Name | Roger Blanchard |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 101 E Pier St, Port Washington, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073536793 | NPI | - | NPPES |
| 39299600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1045-123 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Blanchard, MSW, LCSW 285 N Janacek Rd, Brookfield, WI 53045-6102 Ph: (262) 641-9050 | Roger Blanchard, MSW, LCSW 101 E Pier St, Port Washington, WI 53074-1939 Ph: (262) 284-3117 |
Renee M Keranen, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 121 W Main St, Port Washington, WI 53074 Phone: 262-284-8133 Fax: 262-284-8104 | |
Sandra Jacques, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 W Main St, Suite 350, Port Washington, WI 53074 Phone: 262-284-8130 Fax: 262-284-8104 | |
Mrs. Deanna Schultz-depies, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 121 W Main St, #350, Port Washington, WI 53074 Phone: 262-284-8140 Fax: 262-284-8104 | |
Timothy J Shininger, LCSW LMFT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5789 Fax: 262-284-5907 | |
Sandra E Black, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5789 Fax: 262-284-5907 | |
Lorene Menchaca, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 E Pier St, Port Washington, WI 53074 Phone: 262-284-3117 Fax: 262-284-3087 |