MRS. CARISSA MARIE SAWICKI (NPI# 1659721371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659721371 |
Entity Type | Individual |
Full Name | MRS. CARISSA MARIE SAWICKI |
Other Name | MS. CARISSA MARIE GUTSMIEDL |
Credential | MA, LPC |
Practice Address |
1234 Main Street Suite 21, 3rd Floor Green Bay WI 54302 |
Mailing Address |
2321 San Luis Place Green Bay WI 54304 |
Practice Telephone | 9203915369 |
Practice Fax Number | 9202733371 |
Mailing Telephone | 9204310962 |
Mailing Fax Number | 9202432053 |
Enumeration Date | 2016-06-14 |
Last Update Date | 2020-10-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
7938-125 | WI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 100103270 | 05 | |
IL | 376001106006 | 05 | |
IL | 376001106007 | 05 |
Street Address |
1234 MAIN STREET SUITE 21, 3RD FLOOR |
City | GREEN BAY |
State | WI |
Zip Code | 54302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891181459 | Shannon Rae Mullins | Registered Nurse | 2254 Imperial Ln, Green Bay, WI 54302 | 2015-04-10 |
1346667045 | David Howard Jadin | Dentist | 1245 Main St, Green Bay, WI 54302 | 2014-03-20 |
1407003577 | Abby Baumgart | Counselor | 1234-21 Main St, Green Bay, WI 54302 | 2008-08-20 |
1447441779 | Muller Eyecare Associates Ltd | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-08-01 |
1851385231 | Bornemann Nursing Home Inc | Skilled Nursing Facility | 226 Bornemann St, Green Bay, WI 54302 | 2005-08-31 |
1194188706 | Familia Dental Green Bay LLC | Dentist | 1931 Main St., Green Bay, WI 54302 | 2016-03-31 |
1255710125 | Kim Lawrence | Social Worker | 1234 Main St., St 21, 3rd Floor, Green Bay, WI 54302 | 2015-05-26 |
1255464533 | John Muller | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-03-14 |
1851622005 | Michael Andrew Larkey | Social Worker | 815 Reber St, Green Bay, WI 54302-1116 | 2010-01-27 |
1801426432 | Sarah Jane Peters | Counselor | 1234 Main St Ste 21, Green Bay, WI 54302-1307 | 2020-01-23 |
Find all providers in zip 54302 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801426432 | Sarah Jane Peters | Counselor | 1234 Main St Ste 21, Green Bay, WI 54302-1307 | 2020-01-23 |
1871066696 | Theresa Bilgo | Counselor | 123 N Oakland Ave, Green Bay, WI 54303-2831 | 2019-01-03 |
1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
1245612217 | Chris Olejniczak | Counselor | 2920 S Webster Ave Ste B, Green Bay, WI 54301-1594 | 2015-06-25 |
1588904726 | Kimberly Ann Page Stone | Counselor | 2970 Mossy Oak Cir, Apartment 92, Green Bay, WI 54311-7129 | 2013-02-26 |
1285981779 | Michelle R Eddy | Counselor | 2701 Larsen Rd Ste 216, Green Bay, WI 54303-4863 | 2012-08-14 |
1467719211 | Kristin M. Shaw | Counselor | 414 E Walnut St Ste 210, Green Bay, WI 54301-5020 | 2012-04-18 |
1720264195 | Linda A Carmody, Ms, Lpc | Counselor | 1496 Bellevue St Ste 101, Green Bay, WI 54311-4205 | 2008-01-16 |
1770776429 | Elaine Therese Conway | Counselor | 934 S Clay St, Green Bay, WI 54301-3419 | 2007-08-24 |
1801916978 | Maureen L Sinkler | Counselor | 131 Tonatiuh Ln, Green Bay, WI 54301-2911 | 2007-03-30 |
Find all providers in GREEN BAY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.