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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. DOROTHY A FONSTAD, MSE, LCSW, CADC 111

Active

MS. DOROTHY A FONSTAD, MSE, LCSW, CADC 111 is a Social Worker healthcare provider located in APPLETON, Wisconsin. NPI 1639246382 is currently active in the NPPES registry. Verify at CMS.

Social Worker · APPLETON, WI

Registration Details

NPI Number
1639246382
Provider Type
Individual
Gender
Female
NPI Issued
Nov 29, 2006 (19.668894365284 yrs)
Last Updated
Feb 21, 2018
Licenses
1554 (WI)
3182 (WI)
3182-123 (WI)

Practice Information

Address
711 N LYNNDALE DR STE 1A
APPLETON, WI, 549143078
Browse WI providers · Browse ZIP 54914
Phone
9205604525
Fax
9205606618
Primary Specialty
Social Worker
104100000X
Additional Specialty
Social Worker
Additional Specialty
Counselor

Other Social Worker Providers in APPLETON, WI

Name Credential NPI
ANN M GAYLORD LMFT 1609943364
JEAN M MANDEL MSSW 1336267160
CHELSEA L BAUCOM-YOUNG MSW 1548475833
MRS. JENNIFER L BUSHMAN LCSW 1861696619
NICOLE BUSHMAN LPC 1639494115
ANNE MCLAREN LPC, CSAC 1255656914
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.