| Ms Lucia Marie Micheli, MSW CADC III | |
|
500 Elm Grove Rd, Suite 100 Trillium Care Group, Elm Grove, WI 53122 | |
| (262) 782-2090 | |
| (262) 782-2092 |
| Full Name | Ms Lucia Marie Micheli |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 27 Years |
| Location | 500 Elm Grove Rd, Elm Grove, Wisconsin |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770633752 | NPI | - | NPPES |
| 40957000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11091 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 1900121 (Wisconsin) | Secondary |
| Entity Name | Trillium Care Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477629640 PECOS PAC ID: 7618935529 Enrollment ID: O20041223000193 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lucia Marie Micheli, MSW CADC III 500 Elm Grove Rd, Suite 100 Trillium Care Group, Elm Grove, WI 53122 Ph: (262) 782-2090 | Ms Lucia Marie Micheli, MSW CADC III 500 Elm Grove Rd, Suite 100 Trillium Care Group, Elm Grove, WI 53122 Ph: (262) 782-2090 |
Dr. Ivanna M Richardson, EDD LMFT LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12970 W Bluemound Rd, #105, Elm Grove, WI 53122 Phone: 262-787-2907 | |
Jessica Sullivan, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 925 Elm Grove Rd Ste 303, Elm Grove, WI 53122 Phone: 414-375-9314 | |
Jacqueline Lee Landers, MSW LCSW CSAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 700 Pilgrim Pkwy Ste 203, Elm Grove, WI 53122 Phone: 262-408-0588 Fax: 262-599-8119 | |
Nancy Winston, LPC-IT Counselor Medicare: Accepting Medicare Assignments Practice Location: 15285 Watertown Plank Rd, Elm Grove, WI 53122 Phone: 262-797-2818 Fax: 262-797-2814 | |
Stephanie Hein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15330 Watertown Plank Rd Ste 5, Elm Grove, WI 53122 Phone: 262-328-6332 | |
Coleen Rae Kittleson, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 12970 W Bluemound Rd, 308, Elm Grove, WI 53122 Phone: 262-780-1020 Fax: 262-780-1022 | |
Autumn Verstegan Melian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 W Bluemound Rd Ste 300, Elm Grove, WI 53122 Phone: 262-785-9188 |