Greenbush Oaks, INC
Social Worker, Clinical in Poynette, WI. Organization (NPI-2).
NPI number1316190010
StatusActive
Last updated in NPPESOct 28, 2008
Details
- NPI
- 1316190010
- Entity type
- Organization (NPI-2)
- Legal business name
- Greenbush Oaks, INC
- Organization subpart
- No
- Enumeration date
- Oct 28, 2008
- Last updated
- Oct 28, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2017-123 | WI | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 1169-132 | WI |
Other names
- Poynette Counseling & Psychotherapy Assoc (Doing Business As)
Practice location
415 N Main St Ste 3Poynette, WI 53955-8963
Phone 608-635-2146 · Fax 608-635-7379
Mailing address
415 N Main St Ste 3Poynette, WI 53955-8963
Phone 608-635-2146 · Fax 608-635-7379
Authorized official
Lorie A Goeser
Owner
6086352146
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All 5 Clinical Social Worker providers in Poynette · All 43 providers in Poynette
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