| Weeden & Associates, Llc | |
|
W67n222 Evergreen Blvd Ste 111 Cedarburg WI 53012-2650 | |
| (262) 375-9225 | |
| (262) 375-9005 |
| Full Name | Weeden & Associates, Llc |
|---|---|
| Speciality | Social Worker |
| Location | W67n222 Evergreen Blvd Ste 111, Cedarburg, Wisconsin |
| Authorized Official Name and Position | Dennis Clark Weeden (CO OWNER) |
| Authorized Official Contact | 2623759225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weeden & Associates, Llc W67n222 Evergreen Blvd Ste 111 Cedarburg WI 53012-2650 Ph: (262) 375-9225 | Weeden & Associates, Llc W67n222 Evergreen Blvd Ste 111 Cedarburg WI 53012-2650 Ph: (262) 375-9225 |
| NPI Number | 1225355902 |
|---|---|
| Provider Enumeration Date | 04/21/2010 |
| Last Update Date | 04/21/2010 |
| Medicare PECOS PAC ID | 9830369206 |
|---|---|
| Medicare Enrollment ID | O20110823000795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225355902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 432-123 (Wisconsin) | Primary |
| Provider Name | Dennis C Weeden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972726370 PECOS PAC ID: 7012951528 Enrollment ID: I20050615000835 |
| Provider Name | Jacqueline D Weeden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821005406 PECOS PAC ID: 6204867880 Enrollment ID: I20050823000951 |
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