Individual provider · Type 1 NPI

Benjamin Peerbolt, LCSW

Clinical Social Worker · Milwaukee, WI

NPI number 1679844898 Active

Practice location

5420 W State St
Milwaukee, WI 53208-2514

Call (414) 509-7060 Map

Fax (414) 509-7388

Mailing address

8441 N 63rd St
Brown Deer, WI 53223-2811

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8305 (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 1679844898

Benjamin Peerbolt, LCSW's National Provider Identifier is 1679844898, issued on Jan 19, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 31, 2016.