Mrs Tory Phonsavan Koetterhagen, LCSW - Clinical Social Worker in Waukesha, WI

Mrs Tory Phonsavan Koetterhagen, LCSW is a Social Worker - Clinical based in Waukesha, Wisconsin. Mrs Tory Phonsavan Koetterhagen is licensed to practice in Wisconsin (license number 8075-123) and her current practice location is W236s4564 Whispering Hills Ct, Waukesha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (414) 467-6994.

NPI number for Mrs Tory Phonsavan Koetterhagen is 1093281370 and her current mailing address is W236s4564 Whispering Hills Ct, Waukesha, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093281370.

Contact Information

Mrs Tory Phonsavan Koetterhagen, LCSW
W236s4564 Whispering Hills Ct,
Waukesha, WI 53189-9772
(414) 467-6994
Not Available



Healthcare Provider's Profile

Full NameMrs Tory Phonsavan Koetterhagen
GenderFemale
SpecialitySocial Worker - Clinical
LocationW236s4564 Whispering Hills Ct, Waukesha, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093281370
  • Provider Enumeration Date: 10/15/2018
  • Last Update Date: 10/15/2018

Medical Identifiers

Medical identifiers for Mrs Tory Phonsavan Koetterhagen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093281370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 8075-123 (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. Mrs Tory Phonsavan Koetterhagen 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
Mrs Tory Phonsavan Koetterhagen, LCSW
W236s4564 Whispering Hills Ct,
Waukesha, WI 53189-9772

Ph: (414) 467-6994
Mrs Tory Phonsavan Koetterhagen, LCSW
W236s4564 Whispering Hills Ct,
Waukesha, WI 53189-9772

Ph: (414) 467-6994

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› Verified 2 days ago


Social Worker in Waukesha, WI

Ms. Natasha Jean Pinkerton, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 725 American Ave, Waukesha, WI 53188
Phone: 262-928-1000    
Mr. Jerome Michael Loberg, M.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Airport Rd., Waukesha, WI 53188
Phone: 262-548-7930    
Cindy M Sywyk, MSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 721 American Ave, Suite 501, Waukesha, WI 53188
Phone: 262-928-2396    Fax: 262-544-1213
Gary Swan, MSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 2607 N Grandview Blvd, Suite 104, Waukesha, WI 53188
Phone: 262-446-9981    Fax: 262-446-9983
Robert K Porter, MSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 721 American Ave, Suite 501, Waukesha, WI 53188
Phone: 262-928-2396    Fax: 262-544-1213
Susan L Driscoll, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Airport Rd, Waukesha, WI 53188
Phone: 262-548-7950    
Marilyn Tauscher, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 721 American Ave, Ste 501, Waukesha, WI 53188
Phone: 262-928-4036    

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