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NPI Code Detail

MEDICARE: KATHLEEN M SAYERS MSW LCSW LMFT

MEDICARE: KATHLEEN M SAYERS MSW LCSW LMFT
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 Worker497-124WI

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 : 1720078074
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN M SAYERS MSW LCSW LMFT
Provider Business Mailing Address
First Line : PO BOX 365
Second Line :
City : ONEIDA
State : WI
Zip : 54155-0365
Country : US
Telephone Number : 920-490-3790
Fax Number : 920-490-3845
Provider Business Practice Location Address
First Line : 2640 W POINT RD
Second Line :
City : GREEN BAY
State : WI
Zip : 54304-1344
Country : US
Telephone Number : 920-490-3790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 03/31/2022

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