Stephanie L Simon, in North Fond Du Lac, WI - Social Worker

Stephanie L Simon, is a Social Worker - Clinical based in North Fond Du Lac, Wisconsin. Stephanie L Simon is licensed to practice in Wisconsin (license number 9382-123) and her current practice location is 700 Park Ridge Ln, North Fond Du Lac, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 926-7800.

NPI number for Stephanie L Simon is 1629605860 and her current mailing address is 3301 W Forest Home Ave, Milwaukee, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629605860.

Contact Information

	Stephanie L Simon,
	700 Park Ridge Ln, North Fond Du Lac, WI 54937-1385
	(920) 926-7800
	Not Available

Healthcare Provider's Profile

Full Name	Stephanie L Simon
Gender	Female
Speciality	Social Worker - Clinical
Location	700 Park Ridge Ln, North Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1629605860
Provider Enumeration Date: 03/26/2020
Last Update Date: 07/09/2020

Medical Identifiers

Medical identifiers for Stephanie L Simon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629605860	NPI	-	NPPES
100099738	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9382-123 (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. Stephanie L Simon 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
Stephanie L Simon, 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (920) 926-7800	Stephanie L Simon, 700 Park Ridge Ln, North Fond Du Lac, WI 54937-1385 Ph: (920) 926-7800

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Stephanie L Simon, - Clinical Social Worker in North Fond Du Lac, WI