Jack A Plate
LAKESIDE FAMILY THERAPY SERVICES LTD


Address: 4810 Northwestern Ave, Racine, WI 53406-1504
Phone: 2626379984

Jack A Plate (NPI# 1053453340, PAC ID# 3971786757) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1053453340
PAC ID by PECOS 3971786757
Professional Enrollment ID I20110401000084
Full Name Jack A Plate
Organization Legal Name LAKESIDE FAMILY THERAPY SERVICES LTD
Address 4810 Northwestern Ave
Racine
WI 53406-1504
Phone Number 2626379984
Gender M
Medical School UNIVERSITY OF WISCONSIN MEDICAL SCHOOL
Graduation Year 1979
Primary Specialty CLINICAL SOCIAL WORKER
Group Practice PAC ID 3678756400
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
4810 Northwestern Ave, Racine, WI 53406-1504 2626379984 LAKESIDE FAMILY THERAPY SERVICES LTD

Organization Information

Organization Legal Name LAKESIDE FAMILY THERAPY SERVICES LTD
Physicians 5

Physicians with the same organization

Name Specialty Organization Address
Susan E Moore Schneider Clinical Social Worker Lakeside Family Therapy Services Ltd 4810 Northwestern Ave, Racine, WI 53406-1504
Karla J Bidstrup Clinical Social Worker Lakeside Family Therapy Services Ltd 4810 Northwestern Ave, Racine, WI 53406-1504
Renee M Beck-santiago Nurse Practitioner Lakeside Family Therapy Services Ltd 4810 Northwestern Ave, Racine, WI 53406-1504
Kathleen R Rothmeyer Clinical Social Worker Lakeside Family Therapy Services Ltd 4810 Northwestern Ave, Racine, WI 53406-1504

Office Location

Street Address 4810 NORTHWESTERN AVE
City RACINE
State WI
Zip 53406-1504

Physicians in the same location

Name Specialty Organization Address
Susan E Moore Schneider Clinical Social Worker Lakeside Family Therapy Services Ltd 4810 Northwestern Ave, Racine, WI 53406-1504
Karla J Bidstrup Clinical Social Worker Lakeside Family Therapy Services Ltd 4810 Northwestern Ave, Racine, WI 53406-1504
Renee M Beck-santiago Nurse Practitioner Lakeside Family Therapy Services Ltd 4810 Northwestern Ave, Racine, WI 53406-1504
Kathleen R Rothmeyer Clinical Social Worker Lakeside Family Therapy Services Ltd 4810 Northwestern Ave, Racine, WI 53406-1504

Physicians in the same zip code

Name Specialty Organization Address
Daniel R Algrim Chiropractic 5332 Spring St, Mount Pleasant, WI 53406-2910
John R Fisher Chiropractic 5332 Spring St, Mount Pleasant, WI 53406-2910
Brian J Trautman Chiropractic 5332 Spring St, Mount Pleasant, WI 53406-2910
Justin J Woods Family Medicine 5401 Spring St, Mt Pleasant, WI 53406-2911
Tammy L Zimmel Psychologist, Clinical 1135 N Green Bay Rd, Mount Pleasant, WI 53406-3501
Niraj K Shah Family Medicine Aurora Medical Group Inc 8348 Washington Ave, Mount Pleasant, WI 53406-3733
Nandita Batchra Otolaryngology Aurora Medical Group Inc 8400 Washington Ave, Mount Pleasant, WI 53406-3735
Priya Ramdass Family Medicine Aurora Medical Group Inc 8400 Washington Ave, Mount Pleasant, WI 53406-3735
Amy P Kelly Family Medicine Aurora Medical Group Inc 8400 Washington Ave, Mount Pleasant, WI 53406-3735
Timothy M Klusman Anesthesiology Assistant Aurora Medical Group Inc 8400 Washington Ave, Mount Pleasant, WI 53406-3735
Find all physicians in zip 53406

Competitor

Search similar physicians

City RACINE
Zip Code 53406
Specialty CLINICAL SOCIAL WORKER
City + Specialty RACINE + CLINICAL SOCIAL WORKER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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