Organization · Type 2 NPI

Children's Medical Gruop

Clinical Social Worker · Glendale, WI

NPI number 1427223775 Active

Practice location

6791 N Green Bay Ave
Glendale, WI 53209-3422

Call (414) 228-4800 Map

Fax (414) 228-0894

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Developmental - Behavioral Pediatrics Physician 2080P0006XNone 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 1427223775

Children's Medical Gruop's National Provider Identifier is 1427223775, issued on Apr 28, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glendale, WI. The record was last updated on Jan 19, 2012.