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Southida Xayachack
Clinical Social Worker in Brown Deer, Wisconsin
NPI 1487107215

Southida Xayachack is a Clinical Social Worker based in Brown Deer, WI and is specialized in Clinical. Southida Xayachack practices in Brown Deer, WI. The NPI Number for Southida Xayachack is 1487107215 and holds a License No. 130138 (Wisconsin).

The current practice location address for Southida Xayachack is 3900 W Brown Deer Rd, Brown Deer, WI and can be reached out via phone at 414-540-2170 and via fax at 414-540-2171.

Location: 3900 W Brown Deer Rd, Brown Deer, WI, 53209-1220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487107215
Provider Name
Southida Xayachack
Credential
Provider Entity Type
Individual
Gender
Female
Address
3900 W Brown Deer Rd, Brown Deer, WI, 53209-1220
Phone Number
414-540-2170
Fax Number
414-540-2171
Provider Enumeration Date
07/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3900 W Brown Deer Rd
City
Brown Deer
State
Wisconsin
Zip
53209-1220
Phone Number
414-540-2170
Fax Number
414-540-2171
person
Provider Business Mailing Address Details
Address
3900 W Brown Deer Rd
City
Brown Deer
State
Wisconsin
Zip
53209-1220
Phone Number
414-540-2170
Fax Number
414-540-2171
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
130138 (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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