| Timothy J Shininger, LCSW LMFT | |
|
101 E Pier St Ste 2, Port Washington, WI 53074-1943 | |
| (262) 284-5789 | |
| (262) 284-5907 |
| Full Name | Timothy J Shininger |
|---|---|
| Gender | Male |
| Speciality | Marriage And Family Therapist |
| Experience | 33 Years |
| Location | 101 E Pier St Ste 2, Port Washington, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346294816 | NPI | - | NPPES |
| 39730900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4271-123 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comprehensive Counseling Services | 9234164153 | 7 |
| Entity Name | Comprehensive Counseling Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881600807 PECOS PAC ID: 9234164153 Enrollment ID: O20050929000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J Shininger, LCSW LMFT 101 E Pier St Ste 2, Port Washington, WI 53074-1943 Ph: (262) 284-5789 | Timothy J Shininger, LCSW LMFT 101 E Pier St Ste 2, Port Washington, WI 53074-1943 Ph: (262) 284-5789 |
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 | |
Roger Blanchard, MSW, LCSW 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 | |
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 | |
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 |