| Stephanie Jordan Becker, MSW, LICSW, LCSW | |
|
2501 Hanley Rd Ste 101, Hudson, WI 54016-8786 | |
| (715) 954-5300 | |
| (715) 954-5301 |
| Full Name | Stephanie Jordan Becker |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2501 Hanley Rd Ste 101, Hudson, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578308458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11812-123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 25302 (Minnesota) | Primary |
| Entity Name | Associated Clinic Of Psychology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588741292 PECOS PAC ID: 0749171320 Enrollment ID: O20040323000833 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Jordan Becker, MSW, LICSW, LCSW 4240 Park Glen Rd, St Louis Park, MN 55416-5427 Ph: (612) 925-6033 | Stephanie Jordan Becker, MSW, LICSW, LCSW 2501 Hanley Rd Ste 101, Hudson, WI 54016-8786 Ph: (715) 954-5300 |
Patrick Paul Westerham, MSW, LCSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 131 Carmichael Rd Ste 206, Hudson, WI 54016 Phone: 715-318-1174 Fax: 651-314-0350 | |
Grace Marie Franey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2501 Hanley Rd Ste 201, Hudson, WI 54016 Phone: 534-544-5247 Fax: 534-544-5248 | |
Chelsea Eileen Deutsch, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2501 Hanley Rd Ste 201, Hudson, WI 54016 Phone: 534-544-5247 Fax: 534-544-5248 | |
Alison Alsleben, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 2nd St, Hudson, WI 54016 Phone: 715-201-9588 | |
Ms. Shelly Rose Statz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2910 Enloe St, Hudson, WI 54016 Phone: 715-381-5437 Fax: 715-381-5438 | |
Leah Hoffman, LCSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2217 Vine St Ste 206, Hudson, WI 54016 Phone: 715-441-1828 | |
Peter Joseph Vandusartz Iii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 612-396-6313 |