Organization · Type 2 NPI

County of Walworth

Community/Behavioral Health Agency · Elkhorn, WI

NPI number 1114447455 Active

Practice location

1910 County Road Nn
Elkhorn, WI 53121-4454

Call (262) 741-3200 Map

Fax (262) 741-3217

Mailing address

PO Box 1005
Elkhorn, WI 53121-1005

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

31 other providers at this address

Other community/behavioral health agency providers in Elkhorn

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NPI record

NPI: 1114447455
Entity type: Organization (Type 2)
Issued: Jun 27, 2017
Last updated: Aug 28, 2023
Status: Active
Subpart: Yes of County of Walworth

Other names

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Walworth County Department of Health and Human Services · doing business as
Walworth County Department of Health and Human Services · doing business as

Authorized official

Mr. Carlo Jon Nevicosi, MSW, LCSW
Director
(262) 741-3200

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114447455

County of Walworth's National Provider Identifier is 1114447455, issued on Jun 27, 2017. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Elkhorn, WI. The record was last updated on Aug 28, 2023.