Individual provider · Type 1 NPI

Katherine M. Theado, LCSW

Clinical Social Worker · Wauwatosa, WI

NPI number 1174635213 Active

Practice location

10400 W North Ave, Suite 495
Wauwatosa, WI 53226-2425

Fax (414) 777-3204

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1421 (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 1174635213

Katherine M. Theado, LCSW's National Provider Identifier is 1174635213, issued on Aug 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wauwatosa, WI. The record was last updated on Jul 9, 2007.