Theresa C Potente, LCSW - Medicare Clinical Social Worker in Kenosha, WI

Theresa C Potente, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kenosha, Wisconsin. Her current practice location is 920 60th St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 654-5333.

Theresa C Potente is licensed to practice in Wisconsin (license number 2933-123) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912069667.

Contact Information

Theresa C Potente, LCSW
920 60th St,
Kenosha, WI 53140-4041
(262) 654-5333
(262) 654-7818



Healthcare Provider's Profile

Full NameTheresa C Potente
GenderFemale
SpecialitySocial Worker - Clinical
Location920 60th St, Kenosha, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912069667
  • Provider Enumeration Date: 12/15/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9335200187
  • Enrollment ID: I20240102000000

Medical Identifiers

Medical identifiers for Theresa C Potente such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912069667NPI-NPPES
209736OtherVALUE OPTIONS
79757OtherUNITED BEHAVIORAL HEALTH
W009308OtherTRICARE CHAMPUS
39501700MedicaidWI
5616139OtherAETNA
137897OtherMANAGED HEALTH NETWORK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 2933-123 (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. Theresa C Potente is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theresa C Potente, LCSW
920 60th St,
Kenosha, WI 53140-4041

Ph: (262) 654-5333
Theresa C Potente, LCSW
920 60th St,
Kenosha, WI 53140-4041

Ph: (262) 654-5333

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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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