Greenbush Oaks, Inc
Organization Active NPI Clinical Social Worker · Poynette, WI
NPI 1316190010 · NPPES record last updated Oct 28, 2008
Key facts
- NPI
- 1316190010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2017-123 (WI)
- Legal business name
- GREENBUSH OAKS, INC
- Practice address
- 415 N Main St Ste 3
Poynette, WI 53955-8963 - Phone
- (608) 635-2146
- Fax
- (608) 635-7379
- NPI assigned
- Oct 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Lorie A Goeser, CSAC
- Title
- Owner
- Phone
- (608) 635-2146
Practitioners 4
-
Velma Haag, ACSW, CICSW
-
Elizabeth A. Lindner, PHD, APNP
-
Kristine Merrill, MSW; LCSW
-
Gayle Ann L Wilcox, MSSW LCSW
National Provider Directory
Locations
4915 Monona Dr
Ste 100
Monona, WI 53716
Phone (608) 222-2146
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 1169-132 | WI | |
| Clinical Social Worker |
1041C0700X | 2017-123 | WI | Yes |
Addresses
Primary practice location
415 N Main St Ste 3
Poynette, WI 53955-8963
Mailing address
415 N Main St Ste 3
Poynette, WI 53955-8963
Phone (608) 635-2146
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42149300 | Medicaid | WI |
Other names
- Poynette Counseling & Psychotherapy Assoc
Other providers in Poynette, WI
- Dean John Dyke
- Mary Fryk Elsing
- Brittany Falk
- Elliot Ignacio Feria
- Heather Fortune
- Haag Mental Health Consulting, Inc.
- Velma Haag
- Hall Family Chiropractic & Wellness Center, SC
- Angela Hall
- Sara J Hausser
All providers in Poynette, 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 Oct 28, 2008. 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.