| Tammy J King, LCSW | |
|
115 S Main St, Jefferson, WI 53549-1631 | |
| (920) 728-1125 | |
| Not Available |
| Full Name | Tammy J King |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 28 Years |
| Location | 115 S Main St, Jefferson, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851710909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6752-123 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pathways Counseling Center Ii Llc | 7315970969 | 9 |
| Entity Name | Pathways Counseling Center Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942490438 PECOS PAC ID: 7315970969 Enrollment ID: O20050914000444 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy J King, LCSW 125 E Woolcock St, Jefferson, WI 53549-1234 Ph: (920) 728-1125 | Tammy J King, LCSW 115 S Main St, Jefferson, WI 53549-1631 Ph: (920) 728-1125 |
Christine Richards-pagel, MSW, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 | |
Suzanne A Monda, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 W Linden Dr Ste A, Jefferson, WI 53549 Phone: 920-674-6688 | |
Ms. Katherine Sue Drechsler, MSW, LCSW-SA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Road, Jefferson, WI 53549 Phone: 920-674-8107 | |
Sara Kay Zwieg, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 | |
Lisa Dunham, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-7424 Fax: 920-674-7409 | |
Michele Bahl, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 Fax: 920-674-6113 | |
Krystal Ann Fredrick, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 |