Individual provider · Type 1 NPI

Marissa A. Mielke

Clinical Social Worker · Appleton, WI

NPI number 1003401118 Active

Practice location

14 Tri Park Way Bldg 2
Appleton, WI 54914-6445

Mailing address

5154 Juniper Ln
Oshkosh, WI 54904-9702

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003401118

Marissa A. Mielke's National Provider Identifier is 1003401118, issued on Mar 2, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Appleton, WI. The record was last updated on Mar 2, 2021.