Mary Goldbeck (NPI# 1265913958, PAC ID# 5698026987) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1265913958 |
| PAC ID by PECOS | 5698026987 |
| Professional Enrollment ID | I20180926000870 |
| Full Name | Mary Goldbeck |
| Organization Legal Name | WELLQOR PSYCHOLOGICAL SERVICES OF WISCONSIN, S.C. |
| Address |
800 Wall St Elm Grove WI 53122-2629 |
| Phone Number | 2627865800 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 5991073868 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 800 Wall St, Elm Grove, WI 53122-2629 | 2627865800 | WELLQOR PSYCHOLOGICAL SERVICES OF WISCONSIN, S.C. |
| Organization Legal Name | WELLQOR PSYCHOLOGICAL SERVICES OF WISCONSIN, S.C. |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Marie Jaeck | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 8861 S 13th St, Oak Creek, WI 53154-3703 |
| Rabecca Catherine Cole | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 1105 Davidson Rd, Brookfield, WI 53045-6606 |
| Teresa Applebee | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 631 Hazel St, Oshkosh, WI 54901-4600 |
| Margit Alice Swanson | Psychologist, Clinical | Wellqor Psychological Services of Wisconsin, S.c. | 300 N Shore Dr, Hartland, WI 53029-2718 |
| Rachel Lynn Ripley | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 346 Scandinavian Ct, Denmark, WI 54208-8908 |
| Daniel Villarreal | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 414 S County Rd Y, Jefferson, WI 53549-9567 |
| Laurie Sasso | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 6300 67th St, Kenosha, WI 53142-1437 |
| Pamela Baker | Clinical Psychologist | Wellqor Psychological Services of Wisconsin, S.c. | 7550 S 13th St, Oak Creek, WI 53154-1823 |
| Pratibha Srivastava | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 2626 Finger Rd, Green Bay, WI 54302-4821 |
| Larisa Hutchins | Psychologist, Clinical | Wellqor Psychological Services of Wisconsin, S.c. | 2898 S Moorland Rd, New Berlin, WI 53151-3744 |
| Street Address |
800 WALL ST |
| City | ELM GROVE |
| State | WI |
| Zip | 53122-2629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Marie Johnson | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 800 Wall St, Elm Grove, WI 53122-2629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell W Brethauer | Psychologist, Clinical | 700 Pilgrim Pkwy, Suite L9, Elm Grove, WI 53122-2063 | |
| Frank C Fantazzi | Physical Therapy | Pt Plus Management Corp | 700 Pilgrim Pkwy, L8, Elm Grove, WI 53122-2064 |
| Mark G Snyder | Physical Therapy | Pt Plus Management Corp | 700 Pilgrim Pkwy, L8, Elm Grove, WI 53122-2064 |
| Shana G Blackman | Physical Therapy | Pt Plus Management Corp | 700 Pilgrim Pkwy, L8, Elm Grove, WI 53122-2064 |
| Melody R Stier | Physical Therapy | Pt Plus Management Corp | 700 Pilgrim Pkwy, L8, Elm Grove, WI 53122-2064 |
| Rachel L Thiel | Physical Therapy | Pt Plus Management Corp | 700 Pilgrim Pkwy, Elm Grove, WI 53122-2064 |
| Sally S Tarvid | Clinical Social Worker | 740 Pilgrim Pkwy, Suite 103, Elm Grove, WI 53122-2066 | |
| Mark J Koch | Chiropractic | 1055 Legion Dr, Koch Chiropratic, Elm Grove, WI 53122-2202 | |
| Kyle Weber | Physical Therapy | 1135 Legion Dr, Elm Grove, WI 53122-2204 | |
| Edward Cooney | Internal Medicine | 15255 Watertown Plank Rd, Suite 200, Elm Grove, WI 53122-2338 | |
| Find all physicians in zip 53122 | |||
| City | ELM GROVE |
| Zip Code | 53122 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | ELM GROVE + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.