Ms Carolyn Rae Blackdeer, LCSW - Clinical Social Worker in Tomah, WI

Ms Carolyn Rae Blackdeer, LCSW is a Social Worker - Clinical based in Tomah, Wisconsin. Ms Carolyn Rae Blackdeer is licensed to practice in Wisconsin (license number 9774-123) and her current practice location is 500 E Veterans St, Tomah, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (608) 372-3971.

NPI number for Ms Carolyn Rae Blackdeer is 1013686658 and her current mailing address is 27824 Epic Ave, Tomah, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013686658.

Contact Information

Ms Carolyn Rae Blackdeer, LCSW
500 E Veterans St,
Tomah, WI 54660-3105
(608) 372-3971
Not Available



Healthcare Provider's Profile

Full NameMs Carolyn Rae Blackdeer
GenderFemale
SpecialitySocial Worker - Clinical
Location500 E Veterans St, Tomah, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013686658
  • Provider Enumeration Date: 09/08/2021
  • Last Update Date: 09/08/2021

Medical Identifiers

Medical identifiers for Ms Carolyn Rae Blackdeer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013686658NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 9774-123 (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. Ms Carolyn Rae Blackdeer 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
Ms Carolyn Rae Blackdeer, LCSW
27824 Epic Ave,
Tomah, WI 54660-4505

Ph: (612) 221-9364
Ms Carolyn Rae Blackdeer, LCSW
500 E Veterans St,
Tomah, WI 54660-3105

Ph: (608) 372-3971

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› Verified 9 days ago


Social Worker in Tomah, WI

Nicholas Taylor, LICENSED SOCIAL WORK
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-3971    
Allissa Marie Burns-gilbert, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-377-4076    
Ms. Sue Ann Kuruzovich, MSSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 500 East Veterans Street, Vamc Tomah, Tomah, WI 54660
Phone: 608-372-1798    
Sierra Esther Phillips, LCSW, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Veterans St, Social Work Department, Tomah, WI 54660
Phone: 608-372-3971    
Mrs. Gina Rae Chmelka,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-3971    
Hannah Von Behren, MSW, LCSW, CSAC
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-3971    

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