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Jennifer L Evancy, APSW
Addiction (Substance Use Disorder) Counselor in Racine, Wisconsin
NPI 1154486876

Jennifer L Evancy is an Addiction (Substance Use Disorder) Counselor based in Racine, WI and is specialized in Addiction (Substance Use Disorder). Jennifer L Evancy practices in Racine, WI and has the professional credentials of APSW. The NPI Number for Jennifer L Evancy is 1154486876 and holds a License No. 8650-123 (Wisconsin).

The current practice location address for Jennifer L Evancy is 800 Goold St, Racine, WI and can be reached out via phone at 262-638-2000 and via fax at 262-638-2006. You can also correspond with Jennifer L Evancy through the mailing address at 800 GOOLD ST, RACINE, WI - 53402-4567 (mailing address contact number: 262-638-2000).

Location: 800 Goold St, Racine, WI, 53402-4567
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154486876
Provider Name
Jennifer L Evancy
Credential
APSW
Provider Entity Type
Individual
Gender
Female
Address
800 Goold St, Racine, WI, 53402-4567
Phone Number
262-638-2000
Fax Number
262-638-2006
Provider Enumeration Date
12/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
391442732 05 WI
institution
Provider Business Practice Location Address Details
Address
800 Goold St
City
Racine
State
Wisconsin
Zip
53402-4567
Phone Number
262-638-2000
Fax Number
262-638-2006
person
Provider Business Mailing Address Details
Address
800 Goold St
City
Racine
State
Wisconsin
Zip
53402-4567
Phone Number
262-638-2000
Fax Number
262-638-2006
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
17601-130 (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.
8650-123 (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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