Individual provider · Type 1 NPI

Ellen Mary Wanninger, MSW

Clinical Social Worker · Madison, WI

NPI number 1407354418 Active

Practice location

2500 Overlook Ter
Madison, WI 53705-2254

Call (608) 256-1901 Map

Fax (608) 280-7291

Mailing address

17 N Franklin St
Madison, WI 53703-2307

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8808-123 (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 1407354418

Ellen Mary Wanninger, MSW's National Provider Identifier is 1407354418, issued on Jan 24, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Jan 24, 2018.