Connie Rae Champion, LSW, LPC-IT, SAC-IT
Connie Rae Champion, LSW, LPC-IT, SAC-IT is a Mental Health Counselor in Baraboo, Wisconsin. Qualified in 2016, 10 years ago. Practices with Rockford Psychiatric Medical Services SC, a 151-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 10
- Licensed in
- WI
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- LSW — Licensed Social Worker
- A state-licensed social worker.
Practice location Address checks out
414 Broadway St Ste 101Baraboo, WI 53913-2488
Phone: (608) 402-4312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 18546 (WI) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence 3265 (WI) |
Record details
| NPI number | 1598253890 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LSW , LPC-IT , SAC-IT |
| Sole proprietor | No |
| NPI enumerated | April 23, 2018 |
| Last updated in NPPES | April 23, 2018 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Rockford Psychiatric Medical Services Sc — 151 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Baraboo
-
Mrs. Kirstan Carroll Beatty
414 Broadway St Ste 101, Baraboo, WI 53913-2488 · (608) 393-2381
-
Nicole Drier, MS, LPC-IT, SAC
727 8th St, Baraboo, WI 53913-1794 · (608) 566-7811
-
Mrs. Samantha Irene Feryance, LPC
414 Broadway St Ste 101, Baraboo, WI 53913-2488 · (608) 448-1011
-
MS. Sara Tiffany Graap, LPC
505 Broadway St, Baraboo, WI 53913-2183 · (608) 355-4210
-
Brittany Marie Hayes, MA
S2845 White Eagle Rd, Baraboo, WI 53913-9064 · (608) 355-1240