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NPI Code Detail

MEDICARE: MS. JOYCE ANNE MCCONNELL LCSW

MEDICARE: MS. JOYCE ANNE MCCONNELL LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker20196MN
21041C0700XClinical Social Worker7665-123WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659385839
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOYCE ANNE MCCONNELL LCSW
Provider Business Mailing Address
First Line : 200 S HICKORY ST
Second Line :
City : MAUSTON
State : WI
Zip : 53948-1320
Country : US
Telephone Number : 608-847-2400
Fax Number : 608-847-9599
Provider Business Practice Location Address
First Line : 200 S HICKORY ST
Second Line :
City : MAUSTON
State : WI
Zip : 53948-1320
Country : US
Telephone Number : 608-847-2400
Fax Number : 608-847-9599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 03/10/2021

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