Individual provider · Type 1 NPI

Shannon Bernice Westphal, MSW, LCSW

Clinical Social Worker · Hustisford, WI

NPI number 1245819200 Active

Practice location

139 North Lake Street
Hustisford, WI 53034-9507

Fax (920) 349-9031

Mailing address

PO Box 131
Hustisford, WI 53034-0131

Other practice locations

  • 1622 Chestnut St, West Bend, WI 53095-3014 · (262) 306-9800

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10144-123 (WI)
Social Worker 104100000X131945 (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…

Another provider at this address

About NPI 1245819200

Shannon Bernice Westphal, MSW, LCSW's National Provider Identifier is 1245819200, issued on Apr 6, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hustisford, WI. The record was last updated on Nov 16, 2023.