MR. MARK ALAN TEGTMEIER (NPI# 1821263849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821263849 |
| Entity Type | Individual |
| Full Name | MR. MARK ALAN TEGTMEIER |
| Credential | MA, LCSW, LPC, LMFT |
| Practice Address |
E7475 Rawhide Rd New London WI 54961 |
| Practice Telephone | 9209826100 |
| Practice Fax Number | 9209825040 |
| Mailing Telephone | 9209826100 |
| Mailing Fax Number | 9209825040 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
1863-125 | WI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2364-123 | WI | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 479-124 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39273400 | 05 |
| Street Address |
E7475 RAWHIDE RD |
| City | NEW LONDON |
| State | WI |
| Zip Code | 54961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841334620 | Rawhide Inc. | Community/Behavioral Health | E7475 Rawhide Rd, New London, WI 54961-9025 | 2007-02-16 |
| 1639780943 | Jacqueline Paige Fiege | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2020-08-11 |
| 1023647849 | Kari Ann Smith | Social Worker | E7475 Rawhide Rd, New London, WI 54961-9025 | 2020-04-03 |
| 1730725938 | Candice Kreis | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2019-11-22 |
| 1942843172 | Sarah Ann Boyea | Social Worker | E7475 Rawhide Rd, New London, WI 54961-9025 | 2019-10-21 |
| 1740822055 | Lauren Mae Flunker | Social Worker | E7475 Rawhide Rd, New London, WI 54961 | 2019-10-09 |
| 1649820622 | Brittany Cook | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2019-09-12 |
| 1003388380 | Amanda Beth Martin | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2018-12-26 |
| 1619449063 | Carey Ann Molinski | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2018-12-26 |
| 1396255774 | Patti Wagner | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2017-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406408 | Cheryl Schneider | Technician | L 56 Northgate Estates, New London, WI 54961 | 2019-09-12 |
| 1861634719 | Rebecca L Kramer | Counselor | 315 Burton St, New London, WI 54961 | 2009-03-24 |
| 1598913501 | Marsha Ann Nytes | Licensed Practical Nurse | E8222 Weyawega Rd, New London, WI 54961 | 2008-09-03 |
| 1659585172 | Amanda L. Beck | Physical Therapy Assistant | 400 E. 4th Street, Manawa, WI 54961 | 2007-05-10 |
| 1366599433 | Griebenow Eyecare, S.c. | Optometrist | 105 Northridge Drive, New London, WI 54961 | 2007-01-04 |
| 1063641249 | Forefront Dermatology, S.c. | Dermatology | 1620 N Shawano St, Suite C, New London, WI 54961 | 2009-07-08 |
| 1093982530 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1420 Algoma St, New London, WI 54961 | 2008-05-14 |
| 1194910489 | Laurie Mollenhauer | Physical Therapist | 1405 Mill St, New London, WI 54961 | 2007-09-10 |
| 1497837900 | Michael Reed | Nurse Anesthetist, Certified Registered | 1405 Mill St, New London, WI 54961 | 2006-10-20 |
| 1639282544 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 1420 Algoma St, New London, WI 54961 | 2006-08-16 |
| Find all providers in zip 54961 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750856340 | Reed Therapy, LLC | Social Worker | 400 Bayonet St Ste 202, New London, CT 06320-2600 | 2018-10-10 |
| 1184124414 | Toni C Perry, Lcsw, LLC | Social Worker | 883 Montauk Ave Apt 2, New London, CT 06320-4238 | 2018-02-13 |
| 1033620679 | Elizabeth Allen | Social Worker | 106 Truman St, New London, CT 06320-5680 | 2017-10-23 |
| 1528502457 | Dianna Rodriguez | Social Worker | One Shaw's Cove, New London, CT 06320-6302 | 2016-12-12 |
| 1538612239 | Willow Creek Counseling LLC | Social Worker | 17 Ash Street, New London, MN 56273 | 2016-07-28 |
| 1477927739 | Chelsea Culbert | Social Worker | 464 Ocean Ave, New London, CT 06320-4544 | 2015-11-23 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1710219357 | Anne Marie Collins-reed | Social Worker | 315 River Road, New London, WI 54981 | 2010-02-08 |
| 1871827378 | December L Heffernan | Social Worker | 165 State St Ste 200, New London, CT 06320-6304 | 2009-09-30 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 54961 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.