Tom A Defrancesco, LCSW, CADC is a
Social Worker - Clinical based in Racine, Wisconsin. Tom A Defrancesco is licensed to practice in Wisconsin (license number 1166-123) and his current practice location is
4810 Northwestern Ave, Racine, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 637-9984.
NPI number for Tom A Defrancesco is 1053453381 and his current mailing address is 4810 Northwestern Ave, Racine, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053453381.
Healthcare Provider's Profile
| Full Name | Tom A Defrancesco |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4810 Northwestern Ave, Racine, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053453381
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 09/23/2010
Medical Identifiers
Medical identifiers for Tom A Defrancesco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053453381 | NPI | - | NPPES |
| 39549500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11971 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1166-123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tom A Defrancesco is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tom A Defrancesco, LCSW, CADC
4810 Northwestern Ave,
Racine, WI 53406-1504
Ph: (262) 637-9984 | Tom A Defrancesco, LCSW, CADC
4810 Northwestern Ave,
Racine, WI 53406-1504
Ph: (262) 637-9984 |
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