| Alice Faye Portis-patterson, MSW | |
|
6939 Mariner Dr, Suite C, Racine, WI 53406-3938 | |
| (262) 886-8702 | |
| (262) 886-8713 |
| Full Name | Alice Faye Portis-patterson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 38 Years |
| Location | 6939 Mariner Dr, Racine, 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 |
|---|---|---|---|
| 1568515922 | NPI | - | NPPES |
| 222157 | Other | WI | VALUE OPTION |
| 39228200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 947-125 (Wisconsin) | Primary |
| Entity Name | Portis Marriage And Children Counseling Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609046788 PECOS PAC ID: 8527139211 Enrollment ID: O20080624000686 |
| Mailing Address | Practice Location Address |
|---|---|
| Alice Faye Portis-patterson, MSW 3416 Daisy Ln, Racine, WI 53405-4606 Ph: (262) 554-8743 | Alice Faye Portis-patterson, MSW 6939 Mariner Dr, Suite C, Racine, WI 53406-3938 Ph: (262) 886-8702 |
Elmo G Painter-edington, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1545 Boyd Ave, Racine, WI 53405 Phone: 773-546-8028 | |
Kathleen Rasmussen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Wisconsin Ave, Racine, WI 53403 Phone: 262-687-2222 | |
Sammy Joe Rangel, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 Lake Ave, 101, Racine, WI 53403 Phone: 262-634-8688 Fax: 262-634-7547 | |
Merritt Adams, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 Taylor Ave, Racine, WI 53403 Phone: 262-632-1780 Fax: 262-632-0895 | |
Dr. Kelly Jean Smith, PH.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 Taylor Ave, Racine, WI 53403 Phone: 262-638-6771 | |
Donna R. Swanson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 Sixth St, Racine, WI 53403 Phone: 262-898-2940 Fax: 262-898-1772 | |
Ms. Laura Ramos, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 800 Wisconsin Ave, Racine, WI 53403 Phone: 262-637-8888 Fax: 262-637-0695 |