| Addie Mae Caldwell, | |
|
607 E Elizabeth St, Shawano, WI 54166-3105 | |
| (920) 663-1035 | |
| Not Available |
| Full Name | Addie Mae Caldwell |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 607 E Elizabeth St, Shawano, 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 |
|---|---|---|---|
| 1679071492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 8185-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Core Treatment Services, Inc. | 6608267430 | 6 |
| Entity Name | Core Treatment Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659912319 PECOS PAC ID: 6608267430 Enrollment ID: O20220105000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Addie Mae Caldwell, 607 E Elizabeth St, Shawano, WI 54166-3105 Ph: () - | Addie Mae Caldwell, 607 E Elizabeth St, Shawano, WI 54166-3105 Ph: (920) 663-1035 |
Mrs. Tracy Van Ert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Rd, Shawano, WI 54166 Phone: 715-526-5547 Fax: 715-526-5542 | |
Lavonne Jacobson, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Rd, Shawano, WI 54166 Phone: 715-526-5547 Fax: 715-526-5542 | |
Mrs. Katie Jane Bartell, MA, LPC, SACIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Rd, Shawano, WI 54166 Phone: 715-526-5547 Fax: 715-526-5542 | |
Donna M Jashinsky, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 E Elizabeth St, Shawano, WI 54166 Phone: 715-851-8550 | |
Katie Marie Marquardt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Rd, Shawano, WI 54166 Phone: 715-526-5547 | |
Tammy Marie Mott-hoffman, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 324 S Andrews St, Shawano, WI 54166 Phone: 715-524-4840 | |
Charles E Lamarche, ACSW LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 E Green Bay St, Ste 201, Shawano, WI 54166 Phone: 715-526-5466 Fax: 715-526-5545 |