Beth Young-verkuilen, MS in Appleton, WI - Social Worker

Beth Young-verkuilen, MS is a Social Worker - Clinical based in Appleton, Wisconsin. Beth Young-verkuilen is licensed to practice in Wisconsin (license number 3904) and her current practice location is 412 E Longview Dr Ste C, Appleton, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 882-9877.

NPI number for Beth Young-verkuilen is 1558584300 and her current mailing address is W7175 Firelane 2, Menasha, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558584300.

Contact Information

	Beth Young-verkuilen, MS
	412 E Longview Dr Ste C, Appleton, WI 54911-2168
	(920) 882-9877
	(920) 882-9880

Healthcare Provider's Profile

Full Name	Beth Young-verkuilen
Gender	Female
Speciality	Social Worker - Clinical
Location	412 E Longview Dr Ste C, Appleton, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1558584300
Provider Enumeration Date: 04/10/2007
Last Update Date: 11/16/2022

Medical Identifiers

Medical identifiers for Beth Young-verkuilen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558584300	NPI	-	NPPES
39-1917728	Other	WI	TAXPAYOR ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	149-123 (Wisconsin)	Secondary
106H00000X	Marriage & Family Therapist	149 (Wisconsin)	Secondary
1041C0700X	Social Worker - Clinical	3904 (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. Beth Young-verkuilen 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
Beth Young-verkuilen, MS W7175 Firelane 2, Menasha, WI 54952-9401 Ph: (920) 740-1065	Beth Young-verkuilen, MS 412 E Longview Dr Ste C, Appleton, WI 54911-2168 Ph: (920) 882-9877

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