institution
Northeast Wisconsin Behavioral Health Sc
Marriage & Family Therapist in Green Bay, Wisconsin
NPI 1275733602

Northeast Wisconsin Behavioral Health Sc is a Marriage & Family Therapist based in Green Bay, WI. Northeast Wisconsin Behavioral Health Sc practices in Green Bay, WI. The NPI Number for Northeast Wisconsin Behavioral Health Sc is 1275733602 and holds a License No. 4044-123 (Wisconsin).

The current practice location address for Northeast Wisconsin Behavioral Health Sc is 529 South Jefferson Street, Green Bay, WI and can be reached out via phone at 920-884-2175 and via fax at 920-884-6735. You can also correspond with Northeast Wisconsin Behavioral Health Sc through the mailing address at 529 SOUTH JEFFERSON STREET, GREEN BAY, WI - 54301-4125 (mailing address contact number: 920-884-2175).

Location: 529 South Jefferson Street, Green Bay, WI, 54301-4125
institution
Provider Profile Details
NPI Number
1275733602
Provider Name
Northeast Wisconsin Behavioral Health Sc
Credential
Provider Entity Type
Organization
Address
529 South Jefferson Street, Green Bay, WI, 54301-4125
Phone Number
920-884-2175
Fax Number
920-884-6735
Provider Enumeration Date
07/24/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39722900 01 WI PROVIDER MEDICAID #
000044900 01 WI CLINICMEDICARE# GREENBAY
1275733602 01 WI CLINIC NPI#
000044905 01 WI CLINICMEDICARE#OSHKOSH
1285736249 01 PROVIDER NPI
000144900 01 WI PROVIDERMEDICARE#GREENBAY
000144905 01 WI PROVIDERMEDICARE#OSHKOSH
4225100 01 WI CLINIC MEDICAID #
institution
Provider Business Practice Location Address Details
Address
529 South Jefferson Street
City
State
Zip
54301-4125
Phone Number
920-884-2175
Fax Number
920-884-6735
person
Provider Business Mailing Address Details
Address
529 South Jefferson Street
City
State
Zip
54301-4125
Phone Number
920-884-2175
Fax Number
920-884-6735
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4044 123 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2376 125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
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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 4
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
License No.
4044-123 (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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