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Mr. George Paul Thottakara, MACADCIII
Clinical Social Worker in Niagara, Wisconsin
NPI 1013006329

George Paul Thottakara is a Clinical Social Worker based in Marinette, WI and is specialized in Clinical. George Paul Thottakara practices in Niagara, WI and has the professional credentials of MACADCIII. The NPI Number for George Paul Thottakara is 1013006329 and holds a License No. 2579125 (Wisconsin).

The current practice location address for George Paul Thottakara is 1201 Jackson St, Niagara, WI and can be reached out via phone at 715-251-4555 and via fax at 715-251-1754.

Location: 1201 Jackson St, Niagara, WI, 54143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013006329
Provider Name
George Paul Thottakara
Credential
MACADCIII
Provider Entity Type
Individual
Gender
Male
Address
1201 Jackson St, Niagara, WI, 54143
Phone Number
715-251-4555
Fax Number
715-251-1754
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2579125 01 WI LICENSE NUMBER
39187300 05 WI
institution
Provider Business Practice Location Address Details
Address
1201 Jackson St
City
Niagara
State
Wisconsin
Zip
54151
Phone Number
715-251-4555
Fax Number
715-251-1754
person
Provider Business Mailing Address Details
Address
1201 Jackson St
City
Niagara
State
Wisconsin
Zip
54151
Phone Number
715-251-4555
Fax Number
715-251-1754
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
2579125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
2579125 (Wisconsin)
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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