Individual provider · Type 1 NPI

Lisa Ann Magnus, LCSW, SAC

Clinical Social Worker · Cudahy, WI

NPI number 1114138179 Active

Practice location

5900 S Lake Dr
Cudahy, WI 53110-3171

Fax (414) 489-4056

Mailing address

564 E Jordan Ln
Oak Creek, WI 53154-7082

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1648-123, 13932-131 (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 1114138179

Lisa Ann Magnus, LCSW, SAC's National Provider Identifier is 1114138179, issued on May 24, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cudahy, WI. The record was last updated on Jul 8, 2007.