Individual provider · Type 1 NPI

Phoenix Van Laanen, LCSW

Clinical Social Worker · Green Bay, WI

NPI number 1609354166 Active

Practice location

300 Crooks St
Green Bay, WI 54301-4527

Call (920) 436-6800 Map

Fax (920) 432-5966

Mailing address

2252 Eastman Ave
Green Bay, WI 54302-4674

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X10207 (WI)
Clinical Social Worker Primary 1041C0700X10207 (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 1609354166

Phoenix Van Laanen, LCSW's National Provider Identifier is 1609354166, issued on Aug 6, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Green Bay, WI. The record was last updated on Jun 4, 2025.