Mr George Paul Thottakara, MA CADC III in Niagara, WI - Social Worker

Mr George Paul Thottakara, MA CADC III is a Social Worker - Clinical based in Niagara, Wisconsin. Mr George Paul Thottakara is licensed to practice in Wisconsin (license number 2579125) and his current practice location is 1201 Jackson St, Marinette County Health And Human Services, Niagara, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (715) 251-4555.

NPI number for Mr George Paul Thottakara is 1013006329 and his current mailing address is 2500 Hall Ave, Suite A Marinette County Health And Human Services, Marinette, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013006329.

Contact Information

	Mr George Paul Thottakara, MA CADC III
	1201 Jackson St, Marinette County Health And Human Services, Niagara, WI 54151
	(715) 251-4555
	(715) 251-1754

Healthcare Provider's Profile

Full Name	Mr George Paul Thottakara
Gender	Male
Speciality	Social Worker - Clinical
Location	1201 Jackson St, Niagara, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1013006329
Provider Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr George Paul Thottakara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013006329	NPI	-	NPPES
2579125	Other	WI	LICENSE NUMBER
39187300	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	2579125 (Wisconsin)	Primary
1041C0700X	Social Worker - Clinical	2579125 (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. Mr George Paul Thottakara 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
Mr George Paul Thottakara, MA CADC III 2500 Hall Ave, Suite A Marinette County Health And Human Services, Marinette, WI 54143 Ph: (715) 732-7760	Mr George Paul Thottakara, MA CADC III 1201 Jackson St, Marinette County Health And Human Services, Niagara, WI 54151 Ph: (715) 251-4555

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Mr George Paul Thottakara, MA CADC III - Counselor in Niagara, WI