Jeanine S Fair, MSW, CICSW - Clinical Social Worker in Portage, WI

Jeanine S Fair, MSW, CICSW is a Social Worker - Clinical based in Portage, Wisconsin. Jeanine S Fair is licensed to practice in Wisconsin (license number 3127-123) and her current practice location is 2901 Hunters Trl, Portage, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (608) 742-5518.

NPI number for Jeanine S Fair is 1174551774 and her current mailing address is 2901 Hunters Trl, Po Box 301, Portage, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174551774.

Contact Information

Jeanine S Fair, MSW, CICSW
2901 Hunters Trl,
Portage, WI 53901-3403
(608) 742-5518
(608) 742-4087



Healthcare Provider's Profile

Full NameJeanine S Fair
GenderFemale
SpecialitySocial Worker - Clinical
Location2901 Hunters Trl, Portage, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174551774
  • Provider Enumeration Date: 06/30/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Jeanine S Fair such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174551774NPI-NPPES
39688300MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 3127-123 (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. Jeanine S Fair 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 AddressPractice Location Address
Jeanine S Fair, MSW, CICSW
2901 Hunters Trl, Po Box 301,
Portage, WI 53901-3403

Ph: (608) 742-5518
Jeanine S Fair, MSW, CICSW
2901 Hunters Trl,
Portage, WI 53901-3403

Ph: (608) 742-5518

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› Verified 9 days ago


Social Worker in Portage, WI

Susan I Quiriconi, MSW CICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2901 Hunters Trl, Portage, WI 53901
Phone: 608-742-5518    Fax: 608-742-4087
Lynn S Groeschel, MSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 2901 Hunters Trl, Portage, WI 53901
Phone: 608-742-5518    Fax: 608-742-4087
Mrs. Jessica K Reo, CAPSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2639 New Pinery Rd Ste 1, Portage, WI 53901
Phone: 608-742-5020    Fax: 608-742-3641
Danielle Rae Pollex-rabl, MSSW, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 2910 New Pinery Rd, Unit A2, Portage, WI 53901
Phone: 608-745-4900    Fax: 608-745-4990
Dawn Woodard, MSSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2652 Murphy Rd, Portage, WI 53901
Phone: 608-742-9717    Fax: 608-742-9700
Philip W Robinson,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 2639 New Pinery Rd, Suite 1, Portage, WI 53901
Phone: 608-742-5020    Fax: 608-742-5364

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