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Jack A Plate, LCSW,LMFT
Marriage & Family Therapist in Racine, Wisconsin
NPI 1053453340

Jack A Plate is a Marriage & Family Therapist based in Racine, WI. Jack A Plate practices in Racine, WI and has the professional credentials of LCSW,LMFT. The NPI Number for Jack A Plate is 1053453340 and holds a License No. 698-123 (Wisconsin).

The current practice location address for Jack A Plate is 4810 Northwestern Ave, Racine, WI and can be reached out via phone at 262-637-9984 and via fax at 262-637-9995. You can also correspond with Jack A Plate through the mailing address at 4810 NORTHWESTERN AVE, RACINE, WI - 53406-1504 (mailing address contact number: 262-637-9984).

Location: 4810 Northwestern Ave, Racine, WI, 53406-1504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053453340
Provider Name
Jack A Plate
Credential
LCSW,LMFT
Provider Entity Type
Individual
Gender
Male
Address
4810 Northwestern Ave, Racine, WI, 53406-1504
Phone Number
262-637-9984
Fax Number
262-637-9995
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39534500 05 WI
institution
Provider Business Practice Location Address Details
Address
4810 Northwestern Ave
City
Racine
State
Wisconsin
Zip
53406-1504
Phone Number
262-637-9984
Fax Number
262-637-9995
person
Provider Business Mailing Address Details
Address
4810 Northwestern Ave
City
Racine
State
Wisconsin
Zip
53406-1504
Phone Number
262-637-9984
Fax Number
262-637-9995
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
209-124 (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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
698-123 (Wisconsin)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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