Organization · Type 2 NPI

Ignite Psychotherapy Services LLC

Clinical Social Worker · Kenosha, WI

NPI number 1265027221 Active

Practice location

5455 Sheridan Rd Ste LL10
Kenosha, WI 53140-3752

Call (262) 909-0356 Map

Fax (262) 551-3911

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1265027221

Ignite Psychotherapy Services LLC's National Provider Identifier is 1265027221, issued on Mar 2, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kenosha, WI. The record was last updated on Feb 2, 2026.