Individual provider · Type 1 NPI

Jerome Michael Loberg, M.S.W.

Clinical Social Worker · Waukesha, WI

NPI number 1023170099 Active

Practice location

1501 Airport Rd.
Waukesha, WI 53188

Mailing address

W 105 Belleview Ave.
Oconomowoc, WI 53066

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3048-123 (WI)

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 1023170099

Jerome Michael Loberg, M.S.W.'s National Provider Identifier is 1023170099, issued on Dec 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waukesha, WI. The record was last updated on Jul 8, 2007.