Susan Klinger Walloch, MSSW LCSW is a
Social Worker - Clinical based in Chippew Falls, Wisconsin. Susan Klinger Walloch is licensed to practice in Wisconsin (license number 422 123) and her current practice location is
711 N Bridge Street, Rm 122, Chippew Falls, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 726-7788.
NPI number for Susan Klinger Walloch is 1255405759 and her current mailing address is 711 N Bridge Street, Rm 122, Chippew Falls, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255405759.
Healthcare Provider's Profile
| Full Name | Susan Klinger Walloch |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 711 N Bridge Street, Chippew Falls, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255405759
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Susan Klinger Walloch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255405759 | NPI | - | NPPES |
| 17950 | Other | WI | SECURITY HEALTH |
| 39576300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 422 123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Klinger Walloch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Susan Klinger Walloch, MSSW LCSW 711 N Bridge Street, Rm 122, Chippew Falls, WI 54729-1876 Ph: (715) 726-7788 | Susan Klinger Walloch, MSSW LCSW 711 N Bridge Street, Rm 122, Chippew Falls, WI 54729-1876 Ph: (715) 726-7788 |
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