Ms Gladys Ebata, LCSW in Tomah, WI - Social Worker

Ms Gladys Ebata, LCSW is a Social Worker - Clinical based in Tomah, Wisconsin. Ms Gladys Ebata is licensed to practice in Wisconsin (license number 4364 - 123) and her current practice location is 27374 State Highway 21, Tomah, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (608) 372-5819.

NPI number for Ms Gladys Ebata is 1447567870 and her current mailing address is 27374 State Highway 21, Tomah, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447567870.

Contact Information

	Ms Gladys Ebata, LCSW
	27374 State Highway 21, Tomah, WI 54660-4501
	(608) 372-5819
	(608) 372-0889

Healthcare Provider's Profile

Full Name	Ms Gladys Ebata
Gender	Female
Speciality	Social Worker - Clinical
Location	27374 State Highway 21, Tomah, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1447567870
Provider Enumeration Date: 09/07/2010
Last Update Date: 09/07/2010

Medical Identifiers

Medical identifiers for Ms Gladys Ebata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447567870	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	4364 - 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 Gladys Ebata 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 Address	Practice Location Address
Ms Gladys Ebata, LCSW 27374 State Highway 21, Tomah, WI 54660-4501 Ph: (608) 372-5819	Ms Gladys Ebata, LCSW 27374 State Highway 21, Tomah, WI 54660-4501 Ph: (608) 372-5819

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Social Worker in Tomah, WI

Ms. Carolyn Rae Blackdeer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971
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

Ms Gladys Ebata, LCSW - Clinical Social Worker in Tomah, WI