Provider Demographics
NPI:1376695742
Name:SZATKOWSKI, JEANNE C (LCSW, ADCL)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:C
Last Name:SZATKOWSKI
Suffix:
Gender:F
Credentials:LCSW, ADCL
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Mailing Address - Street 1:111 MARKET ST
Mailing Address - Street 2:SUITE 4A
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987-5532
Mailing Address - Country:US
Mailing Address - Phone:507-452-5033
Mailing Address - Fax:507-452-5183
Practice Address - Street 1:115 5TH AVE S
Practice Address - Street 2:SUITE 301
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-9200
Practice Address - Country:US
Practice Address - Phone:608-785-0827
Practice Address - Fax:507-452-5183
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN300436101YA0400X
WI4151-1231041C0700X
WI13911101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN088442100Medicaid
WI40987500Medicaid
MNHP66994OtherHEALTHPARTNERS
WI000084005Medicare PIN