| Madison Psychotherapy And Wellness Llc | |
|
100 River Pl Ste 260 Monona WI 53716-4043 | |
| (920) 397-0010 | |
| Not Available |
| Full Name | Madison Psychotherapy And Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 100 River Pl Ste 260, Monona, Wisconsin |
| Authorized Official Name and Position | Paula Margaret Witt (OWNER /THERAPIST) |
| Authorized Official Contact | 9203970010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Psychotherapy And Wellness Llc 100 River Pl Ste 260 Monona WI 53716-4043 Ph: (920) 397-0010 | Madison Psychotherapy And Wellness Llc 100 River Pl Ste 260 Monona WI 53716-4043 Ph: (920) 397-0010 |
| NPI Number | 1760115653 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 07/07/2022 |
| Certification Date | 07/07/2022 |
| Medicare PECOS PAC ID | 1456888692 |
|---|---|
| Medicare Enrollment ID | O20241230000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760115653 | NPI | - | NPPES |
| 100014628 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Paula M Witt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073803672 PECOS PAC ID: 0244525467 Enrollment ID: I20160825002815 |
| Provider Name | Allyson Catherine Mcbride |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417476664 PECOS PAC ID: 7416214655 Enrollment ID: I20181211001285 |
| Provider Name | Christine M Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679965024 PECOS PAC ID: 6103224209 Enrollment ID: I20211004002207 |
| Provider Name | Jessica Marie Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003052572 PECOS PAC ID: 5294124988 Enrollment ID: I20211118001858 |
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