Individual provider · Type 1 NPI

Mark Alan Tegtmeier, MA, LCSW, LPC, LMFT

Clinical Social Worker · New London, WI

NPI number 1821263849 Active

Practice location

E7475 Rawhide Rd
New London, WI 54961

Fax (920) 982-5040

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X1863-125 (WI)
Clinical Social Worker Primary 1041C0700X2364-123 (WI)
Marriage & Family Therapist 106H00000X479-124 (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 1821263849

Mark Alan Tegtmeier, MA, LCSW, LPC, LMFT's National Provider Identifier is 1821263849, issued on Apr 30, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New London, WI. The record was last updated on Apr 30, 2008.