Individual provider · Type 1 NPI

Daniel Robert Holstead

Clinical Social Worker · Green Bay, WI

NPI number 1104977057 Active

Practice location

130 E Walnut St, Suite 706
Green Bay, WI 54301-4239

Call (920) 437-8256 Map

Fax (920) 437-1188

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X526 (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 1104977057

Daniel Robert Holstead's National Provider Identifier is 1104977057, issued on Jan 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Green Bay, WI. The record was last updated on Jul 8, 2007.