Individual provider · Type 1 NPI

Kelly Jean Witt-Erickson, ICSW CPC

Clinical Social Worker · Phillips, WI

NPI number 1801106265 Active

Practice location

548 North Lake Avenue
Phillips, WI 54555

Mailing address

W5213 Worcester Lake Road
Prentice, WI 54556

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3898-123 (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 1801106265

Kelly Jean Witt-Erickson, ICSW CPC's National Provider Identifier is 1801106265, issued on Oct 19, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phillips, WI. The record was last updated on Oct 19, 2010.