Andrea K-p Fafford, LCSW in Kenosha, WI - Social Worker

Andrea K-p Fafford, LCSW is a Social Worker - Clinical based in Kenosha, Wisconsin. Andrea K-p Fafford is licensed to practice in Wisconsin (license number 7912-123) and her current practice location is 6501 3rd Ave, Kenosha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 914-6540.

NPI number for Andrea K-p Fafford is 1255689022 and her current mailing address is 3708 16th Ave, Kenosha, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255689022.

Contact Information

	Andrea K-p Fafford, LCSW
	6501 3rd Ave, Kenosha, WI 53143-5111
	(262) 914-6540
	(262) 997-1061

Healthcare Provider's Profile

Full Name	Andrea K-p Fafford
Gender	Female
Speciality	Social Worker - Clinical
Location	6501 3rd Ave, Kenosha, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1255689022
Provider Enumeration Date: 08/27/2012
Last Update Date: 07/13/2020

Medical Identifiers

Medical identifiers for Andrea K-p Fafford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255689022	NPI	-	NPPES
100085186	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	7912-123 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea K-p Fafford is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Andrea K-p Fafford, LCSW 3708 16th Ave, Kenosha, WI 53140-2441 Ph: (414) 218-3413	Andrea K-p Fafford, LCSW 6501 3rd Ave, Kenosha, WI 53143-5111 Ph: (262) 914-6540

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Social Worker in Kenosha, WI

Linda M. Tiso, MSW, LCSW, SAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3535 30th Ave, Suite 202, Kenosha, WI 53144 Phone: 262-842-0500 Fax: 262-842-0502
Kathryn Ann Aalto, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3734 7th Ave, Suite 12, Kenosha, WI 53140 Phone: 262-654-9370 Fax: 262-654-9379
David S Meyers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 60th St, Kenosha, WI 53140 Phone: 262-654-5333 Fax: 262-654-7818
Nicholas Olsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-674-3718
Shonda Lynn Gagliano, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7723 32nd Ave, Kenosha, WI 53142 Phone: 262-573-4549
Victoria Mahboub, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6014 41st Ave, Kenosha, WI 53142 Phone: 262-818-3531
Jennifer Brau, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4633 Washington Rd, Kenosha, WI 53144 Phone: 262-652-7222

Andrea K-p Fafford, LCSW - Clinical Social Worker in Kenosha, WI