Susan I Quiriconi, MSW CICSW in Portage, WI - Social Worker

Susan I Quiriconi, MSW CICSW is a Social Worker - Clinical based in Portage, Wisconsin. Susan I Quiriconi is licensed to practice in Wisconsin (license number 568-122) and her current practice location is 2901 Hunters Trl, Portage, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (608) 742-5518.

NPI number for Susan I Quiriconi is 1013946987 and her current mailing address is Po Box 301, Portage, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013946987.

Contact Information

	Susan I Quiriconi, MSW CICSW
	2901 Hunters Trl, Portage, WI 53901-3403
	(608) 742-5518
	(608) 742-4087

Healthcare Provider's Profile

Full Name	Susan I Quiriconi
Gender	Female
Speciality	Social Worker - Clinical
Location	2901 Hunters Trl, Portage, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1013946987
Provider Enumeration Date: 07/02/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Susan I Quiriconi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013946987	NPI	-	NPPES
39581500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	568-122 (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. Susan I Quiriconi 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
Susan I Quiriconi, MSW CICSW Po Box 301, Portage, WI 53901-0301 Ph: (608) 742-5518	Susan I Quiriconi, MSW CICSW 2901 Hunters Trl, Portage, WI 53901-3403 Ph: (608) 742-5518

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Social Worker in Portage, WI

Jeanine S Fair, MSW, CICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-742-5518 Fax: 608-742-4087
Lynn S Groeschel, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-742-5518 Fax: 608-742-4087
Mrs. Jessica K Reo, CAPSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2639 New Pinery Rd Ste 1, Portage, WI 53901 Phone: 608-742-5020 Fax: 608-742-3641
Danielle Rae Pollex-rabl, MSSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2910 New Pinery Rd, Unit A2, Portage, WI 53901 Phone: 608-745-4900 Fax: 608-745-4990
Dawn Woodard, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2652 Murphy Rd, Portage, WI 53901 Phone: 608-742-9717 Fax: 608-742-9700
Philip W Robinson, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2639 New Pinery Rd, Suite 1, Portage, WI 53901 Phone: 608-742-5020 Fax: 608-742-5364

Susan I Quiriconi, MSW CICSW - Clinical Social Worker in Portage, WI