Individual provider · Type 1 NPI

Jolene Rose Blaha, LCSW

Clinical Social Worker · Juneau, WI

NPI number 1194569384 Active

Practice location

199 County Road Df Fl 3
Juneau, WI 53039-9512

Call (920) 386-3500 Map

Fax (920) 386-4564

Mailing address

590 River Rd Apt 5
Columbus, WI 53925-1722

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12857-123 (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 1194569384

Jolene Rose Blaha, LCSW's National Provider Identifier is 1194569384, issued on Jun 21, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Juneau, WI. The record was last updated on Apr 10, 2026.