Individual provider · Type 1 NPI

Carolyn R. Short

Clinical Social Worker · Waukesha, WI

NPI number 1881790368 Active

Practice location

741 N Grand Ave, Suite 302
Waukesha, WI 53186-4820

Call (262) 542-3255 Map

Mailing address

S57W25446 Lois Ln
Waukesha, WI 53189-9605

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X702-123 (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 1881790368

Carolyn R. Short's National Provider Identifier is 1881790368, issued on Sep 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waukesha, WI. The record was last updated on Jul 8, 2007.