About

Randall John Ambrosius is a Addiction Counselor in Wisconsin Rapids, Wisconsin. He graduated in 1993. He has over 17 years of experience. Randall J. Ambrosius is a group member of La Clinica De Los Campesinos, Inc. Contact Randall John Ambrosius to request his Medicare information, payment methods he accepts, or to book an appointment.

Basic Data

PECOS ID: 2668501933

Entity Type: Individual; Not Sole Proprietor

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

Gender

Male

Years in Practice

17 years

Healthcare Provider Taxonomy

  • Code: 101YA0400X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Counselor
  • Specialization: Addiction
  • Code: 1041C0700X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Social Worker
  • Specialization: Clinical

Credentials

  • Master of Social Work (MSW)
  • Certified Alcohol Drug Counselor III (CADCIII)
  • 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
90791 Psychiatric diagnostic evaluation 19 19
90834 Psychotherapy, 45 minutes 133 24

Group Practices

Group practices this therapist belongs to includes:

La Clinica De Los Campesinos, Inc
Address 400 S Townline Rd
Wautoma, WI 54982-6922
Group PAC ID 8729996574
Group Members 10

Licenses

Name License Number State
LCSW 1834 Verify WI
Social Worker 4186123 Verify WI

Education

Year Graduated
1993

Practice Locations

2611 12th St S

Mental Health Aoda Clinic

Wisconsin Rapids, WI 54494

Phone Number: (715) 421-8849

Fax Number: (715) 421-2266

400 S Townline Rd

Wautoma, WI 54982-6922

Phone Number: (920) 787-5514

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