Individual provider · Type 1 NPI

Kelly Lindenbaum

Clinical Social Worker · Kenosha, WI

NPI number 1619422771 Active

Practice location

5455 Sheridan Rd Ste LL10
Kenosha, WI 53140-3752

Fax (262) 551-3911

Mailing address

5556 31st Ave
Kenosha, WI 53144-2804

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X8701 (WI)
Marriage & Family Therapist 106H00000X556-228 (WI)
Clinical Social Worker Primary 1041C0700X8701-123 (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…

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About NPI 1619422771

Kelly Lindenbaum's National Provider Identifier is 1619422771, issued on Aug 18, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kenosha, WI. The record was last updated on Jan 1, 2024.