Mark Mixdorf, ICSW - Clinical Social Worker in Wausau, WI

Mark Mixdorf, ICSW is a Social Worker - Clinical based in Wausau, Wisconsin. Mark Mixdorf is licensed to practice in Wisconsin (license number 2541-123) and his current practice location is 1100 Lake View Dr, Wausau, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (715) 848-4600.

NPI number for Mark Mixdorf is 1659387603 and his current mailing address is 1100 Lake View Dr, Wausau, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659387603.

Contact Information

Mark Mixdorf, ICSW
1100 Lake View Dr,
Wausau, WI 54403-6785
(715) 848-4600
(715) 845-5398



Healthcare Provider's Profile

Full NameMark Mixdorf
GenderMale
SpecialitySocial Worker - Clinical
Location1100 Lake View Dr, Wausau, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659387603
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mark Mixdorf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659387603NPI-NPPES
39661600MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 2541-123 (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. Mark Mixdorf 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
Mark Mixdorf, ICSW
1100 Lake View Dr,
Wausau, WI 54403-6785

Ph: (715) 848-4600
Mark Mixdorf, ICSW
1100 Lake View Dr,
Wausau, WI 54403-6785

Ph: (715) 848-4600

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› Verified 7 days ago


Social Worker in Wausau, WI

Mr. William B Schmelzer, MSW, ACSW, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 903 2nd St, Wausau, WI 54403
Phone: 715-842-3346    Fax: 715-842-3344
Karen M Loka, ICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Lake View Dr, Wausau, Wausau, WI 54403
Phone: 715-848-4600    
Stacey E Saunders, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 705 S 24th Ave, Wausau, WI 54401
Phone: 715-843-1902    Fax: 715-848-2959
Shannon Cole-cameron, MSW, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Lake View Dr, Wausau, WI 54403
Phone: 715-848-4600    Fax: 715-845-5398
Brandon Nite, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2102 N 6th St, Wausau, WI 54403
Phone: 208-403-9508    
Julie M Jensen,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Lake View Dr, Wausau, WI 54403
Phone: 715-848-4600    Fax: 715-845-5398
Mr. Travis Jon Forst, MSW, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 903 2nd St, Wausau, WI 54403
Phone: 715-842-3346    Fax: 715-842-3344

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