Individual provider · Type 1 NPI
Audra A. Eggum, LCSW
Clinical Social Worker · Winneconne, WI
Practice location
140 W Main St, Suite A
Winneconne, WI 54986-9409
Mailing address
PO Box 486, 140 W Main
Winneconne, WI 54986-0486
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 1556-121 (WI) |
| Clinical Social Worker Primary | 1041C0700X | 7281-123 (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…
About NPI 1457566689
Audra A. Eggum, LCSW's National Provider Identifier is 1457566689, issued on May 11, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Winneconne, WI. The record was last updated on Jan 25, 2011.