Organization · Type 2 NPI

Children's Medical Group, Inc.

Clinical Social Worker · Kenosha, WI

NPI number 1245017201 Active

Practice location

6809 122nd Ave
Kenosha, WI 53142-7335

Call (262) 891-6575 Map

Fax (262) 654-5467

Mailing address

9000 W Wisconsin Ave # Ms 958
Milwaukee, WI 53226-4874

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Professional Counselor	101YP2500X	None listed
Social Worker	104100000X	None listed
Clinical Social Worker Primary	1041C0700X	None listed
Marriage & Family Therapist	106H00000X	None listed
Psychiatry Physician	2084P0800X	None listed
Child & Adolescent Psychiatry Physician	2084P0804X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed

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 1245017201

Children's Medical Group, Inc.'s National Provider Identifier is 1245017201, issued on Sep 13, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kenosha, WI. The record was last updated on Sep 13, 2023.