Ann Marie Bohlman, LCSW
Individual provider Active NPI Clinical Social Worker · Monona, WI
NPI 1104991975 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104991975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 7018-123 (WI)
- Practice address
- 4915 Monona Dr
Suite 305
Monona, WI 53716-2665 - Phone
- (608) 223-1506
- Fax
- (608) 223-1745
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7018-123 | WI | Yes |
Addresses
Primary practice location
4915 Monona Dr
Suite 305
Monona, WI 53716-2665
Mailing address
4915 Monona Dr.
Suite 305
Madison, WI 53716
Phone (608) 223-1506
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04154B102 | Medicaid | WI |
Other providers in Monona, WI
- Elizabeth Esther Bittner
- Aleah Blada
- Matthew Blahunka
- Beth Ann Blair
- Derek Blum
- Michael J Borst
- Deborah K Boushea
- Alexis Jo Boz
- Bright Side Eye Care, S.C.
- Sarah Beth Brockman
All providers in Monona, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.