About

Mary Jean Gonwa is a Social Worker in West Bend, Wisconsin. She attended and graduated from University Of Wisconsin School Of Medicine in 1980. She has over 17 years of experience. Mary J. Gonwa is a group member of Affiliated Clinical Services Inc. Contact Mary Jean Gonwa to request her Medicare information, payment methods she accepts, or to book an appointment.

Basic Data

PECOS ID: 1658376462

Entity Type: Individual; Not Sole Proprietor

Accepts Med Assignment: She does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.

Organization Name: Occupational Therapy And Hand Clinic LLC

Gender

Female

Years in Practice

17 years

Healthcare Provider Taxonomy

  • Code: 104100000X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Social Worker

Credentials

  • Licensed Clinical Social Worker (LCSW)

HCPCS Codes

Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.

Code Code Description Service Count Beneficiary Count
90837 Psychotherapy, 60 minutes 223 17

Group Practices

Group practices this therapist belongs to includes:

Affiliated Clinical Services Inc
Address 111 E Washington St
West Bend, WI 53095-2571
Group PAC ID 0244124899
Group Members 13

Licenses

Name License Number State
LCSW 796 Verify WI

Education

School Year Graduated
University Of Wisconsin School Of Medicine 1980

Practice Locations

279 S 17th Ave

Suite 10

West Bend, WI 53095-3001

Phone Number: (262) 306-9317

111 E Washington St

West Bend, WI 53095-2571

Phone Number: (262) 338-2717

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