Ms Dominique Shantelle Pritchett, LCSW - Clinical Social Worker in Kenosha, WI

Ms Dominique Shantelle Pritchett, LCSW is a Social Worker - Clinical based in Kenosha, Wisconsin. Ms Dominique Shantelle Pritchett is licensed to practice in Wisconsin (license number 7981-123) and her current practice location is 4536 22nd Ave, Kenosha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 656-0044.

NPI number for Ms Dominique Shantelle Pritchett is 1356605323 and her current mailing address is 3615 15th St, Apt. 2c, Kenosha, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356605323.

Contact Information

Ms Dominique Shantelle Pritchett, LCSW
4536 22nd Ave,
Kenosha, WI 53140-5917
(262) 656-0044
(262) 653-2218



Healthcare Provider's Profile

Full NameMs Dominique Shantelle Pritchett
GenderFemale
SpecialitySocial Worker - Clinical
Location4536 22nd Ave, Kenosha, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356605323
  • Provider Enumeration Date: 06/25/2012
  • Last Update Date: 01/30/2013

Medical Identifiers

Medical identifiers for Ms Dominique Shantelle Pritchett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356605323NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 128010-121 (Wisconsin)Secondary
1041C0700XSocial Worker - Clinical 7981-123 (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 Dominique Shantelle Pritchett 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 Dominique Shantelle Pritchett, LCSW
3615 15th St, Apt. 2c,
Kenosha, WI 53144-4717

Ph: (262) 496-8897
Ms Dominique Shantelle Pritchett, LCSW
4536 22nd Ave,
Kenosha, WI 53140-5917

Ph: (262) 656-0044

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› Verified 4 days ago


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    

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