Individual provider · Type 1 NPI

Michael Vienneau, LCSW

Clinical Social Worker · Stoughton, WI

NPI number 1720842867 Active

Practice location

100 Business Park Cir Ste 201
Stoughton, WI 53589-5501

Mailing address

148 Forton St
Stoughton, WI 53589-1604

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8409-123 (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 1720842867

Michael Vienneau, LCSW's National Provider Identifier is 1720842867, issued on Feb 8, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stoughton, WI. The record was last updated on Feb 8, 2024.