Individual provider · Type 1 NPI

Stephani Diagne

Clinical Social Worker · Kenosha, WI

NPI number 1023746179 Active

Practice location

12225 71st St
Kenosha, WI 53142-7320

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8777-123 (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 1023746179

Stephani Diagne's National Provider Identifier is 1023746179, issued on Aug 8, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kenosha, WI. The record was last updated on Aug 10, 2026.