Organization · Type 2 NPI

Embrace Life Trauma Institute

Clinical Social Worker · Oconomowoc, WI

NPI number 1609709435 Active

Practice location

105 E Wisconsin Ave Ste 204A
Oconomowoc, WI 53066-3058

Mailing address

PO Box 432
Oconomowoc, WI 53066-0432

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 1609709435

Embrace Life Trauma Institute's National Provider Identifier is 1609709435, issued on Jun 3, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oconomowoc, WI. The record was last updated on Jun 3, 2026.