Individual provider · Type 1 NPI

Mia Mittelstadt-Bleicher

Clinical Social Worker · Park Falls, WI

NPI number 1861361701 Active

Practice location

110 2nd Ave N
Park Falls, WI 54552-1214

Mailing address

146 N Avon Ave
Phillips, WI 54555-1202

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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…

4 other providers at this address

About NPI 1861361701

Mia Mittelstadt-Bleicher's National Provider Identifier is 1861361701, issued on Oct 30, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Park Falls, WI. The record was last updated on Oct 30, 2025.