| Sa Limberg, Inc | |
|
1315 Arrowhead Dr Arbor Vitae WI 54568-9778 | |
| (715) 356-6146 | |
| (715) 358-9556 |
| Full Name | Sa Limberg, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 1315 Arrowhead Dr, Arbor Vitae, Wisconsin |
| Authorized Official Name and Position | Shirley Limberg (OWNER/OPERATOR) |
| Authorized Official Contact | 7153566146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sa Limberg, Inc 8618 Hwy 51 N P O Box 86 Minocqua WI 54548-9347 Ph: (715) 356-6146 | Sa Limberg, Inc 1315 Arrowhead Dr Arbor Vitae WI 54568-9778 Ph: (715) 356-6146 |
| NPI Number | 1649725888 |
|---|---|
| Provider Enumeration Date | 08/17/2016 |
| Last Update Date | 11/16/2016 |
| Medicare PECOS PAC ID | 3476832338 |
|---|---|
| Medicare Enrollment ID | O20161116002142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649725888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3396-125 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 2773-123 (Wisconsin) | Primary |
| Provider Name | Shirley A Limberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053432344 PECOS PAC ID: 3375822240 Enrollment ID: I20161116002294 |
| Provider Name | Suzanne L Scheldroup |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952447310 PECOS PAC ID: 6608155536 Enrollment ID: I20161117001222 |
| Provider Name | Diane Marilyn Baird |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578698916 PECOS PAC ID: 8426400045 Enrollment ID: I20240119000870 |
| Provider Name | David F. Wiltzius |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811101421 PECOS PAC ID: 2062865595 Enrollment ID: I20240131002087 |
| Provider Name | Debra Ann Hilgart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760518765 PECOS PAC ID: 5496102238 Enrollment ID: I20240219002432 |