Individual provider · Type 1 NPI

Ciel Ishatova, LCSW, LMFT

Clinical Social Worker · Madison, WI

NPI number 1639110398 Active

Practice location

1619 Monroe St
Madison, WI 53711-2063

Call (608) 255-9330 Map

Fax (608) 255-7810

Mailing address

4704 Winnequah Rd
Monona, WI 53716-2030

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2248-123 (WI)
Marriage & Family Therapist 106H00000X261-124 (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 1639110398

Ciel Ishatova, LCSW, LMFT's National Provider Identifier is 1639110398, issued on Jun 10, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Jul 15, 2007.