Individual provider · Type 1 NPI

Desirae Lynn Bannecke, APSW

Clinical Social Worker · Waukesha, WI

NPI number 1275463606 Active

Practice location

1501 Airport Rd
Waukesha, WI 53188-2461

Call (262) 548-7666 Map

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 1275463606

Desirae Lynn Bannecke, APSW's National Provider Identifier is 1275463606, issued on May 19, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waukesha, WI. The record was last updated on May 19, 2026.