Individual provider · Type 1 NPI

Gina M. Moede, RADCI

Clinical Social Worker · Green Bay, WI

NPI number 1699765164 Active

Practice location

2640 W Point Rd
Green Bay, WI 54304-1344

Call (920) 869-2711 Map

Mailing address

PO Box 365
Oneida, WI 54155-0365

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X13113 (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 1699765164

Gina M. Moede, RADCI's National Provider Identifier is 1699765164, issued on Oct 26, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Green Bay, WI. The record was last updated on Mar 19, 2008.