Individual provider · Type 1 NPI

Luke Debauche

Clinical Social Worker · Milwaukee, WI

NPI number 1619133352 Active

Practice location

820 N Plankinton Ave
Milwaukee, WI 53203-1802

Fax (414) 273-2357

Mailing address

PO Box 510498
Milwaukee, WI 53203-0092

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
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 1619133352

Luke Debauche's National Provider Identifier is 1619133352, issued on Aug 1, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Milwaukee, WI. The record was last updated on Jan 5, 2022.