Individual provider · Type 1 NPI

Theresa J. Zakutansky, MSW

Clinical Social Worker · Elm Grove, WI

NPI number 1205993482 Active

Practice location

910 Elm Grove Rd Ste 11B
Elm Grove, WI 53122-2531

Fax (262) 780-1002

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1941-123 (WI)
Marriage & Family Therapist 106H00000X383-124 (WI)
Addiction (Substance Use Disorder) Counselor 101YA0400X1828-132 (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 1205993482

Theresa J. Zakutansky, MSW's National Provider Identifier is 1205993482, issued on Jan 3, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elm Grove, WI. The record was last updated on Jun 8, 2026.