Southida Xayachack, in Brown Deer, WI - Social Worker

Southida Xayachack, is a Social Worker - Clinical based in Brown Deer, Wisconsin. Southida Xayachack is licensed to practice in Wisconsin (license number 130138) and her current practice location is 3900 W Brown Deer Rd, Suite 200, Brown Deer, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (414) 540-2170.

NPI number for Southida Xayachack is 1487107215 and her current mailing address is 3900 W Brown Deer Rd, Suite 200, Brown Deer, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487107215.

Contact Information

	Southida Xayachack,
	3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209-1220
	(414) 540-2170
	(414) 540-2171

Healthcare Provider's Profile

Full Name	Southida Xayachack
Gender	Female
Speciality	Social Worker - Clinical
Location	3900 W Brown Deer Rd, Brown Deer, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1487107215
Provider Enumeration Date: 07/28/2016
Last Update Date: 07/28/2016

Medical Identifiers

Medical identifiers for Southida Xayachack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487107215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	130138 (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. Southida Xayachack 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
Southida Xayachack, 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209-1220 Ph: (414) 540-2170	Southida Xayachack, 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209-1220 Ph: (414) 540-2170

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Social Worker in Brown Deer, WI

Melissa Koff, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209 Phone: 414-540-2170
Dr. Jose B. Torres, PHD. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3900 W Brown Deer Rd, Brown Deer, WI 53209 Phone: 414-540-2170 Fax: 414-540-2171
Susell Zarza-o'neill, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209 Phone: 414-540-2170 Fax: 414-540-2171
Jennifer Kramer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209 Phone: 414-540-7120 Fax: 414-540-2171
Michael B Seeley, MSW, LCSW, CADC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8200 W Brown Deer Rd, Suite 300a, Brown Deer, WI 53223 Phone: 414-362-8147 Fax: 414-362-7198
Annette E Madison, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6051 W Brown Deer Rd, Suite 106, Brown Deer, WI 53223 Phone: 414-354-1030 Fax: 414-354-7584
Chelsea R. Gilbertson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209 Phone: 414-540-2170 Fax: 414-540-2171

Southida Xayachack, - Clinical Social Worker in Brown Deer, WI