Donna Maria Altepeter, MSW
Individual provider Active NPI Clinical Social Worker · Appleton, WI
NPI 1184791774 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1184791774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6641-123 (WI)
- Practice address
- 5583 Waterford LN
Appleton, WI 54913-8440 - Phone
- (920) 733-2065
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080411000372 | WI | Practitioner - Clinical Social Worker | 8022195262 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current |
Accepting new patients | |
| Richard Kneip, PH.D., P.C. | Current |
Accepting new patients |
Locations
2923 Marketplace Dr
Ste 204
Fitchburg, WI 53719
Phone (608) 549-5781
811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420
26422 Oakridge Dr
Ste 106
Wind Lake, WI 53185
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6641-123 | WI | Yes |
Addresses
Primary practice location
5583 Waterford LN
Appleton, WI 54913-8440
Mailing address
1813 Northpoint St
Oshkosh, WI 54901-2551
Phone (920) 203-3123
Other providers in Appleton, WI
- John N Allhiser
- Kristina Rae Almanza
- John E Almquist
- Alovia Care
- Alpha Supplies LLC
- Alternative Center for Education, Inc.
- Trevor Althaus
- Sada A Alton
- Always Helpful Home Health Care, Inc.
- Alyzion Psychiatric Care
All providers in Appleton, 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.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.