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Mark Mixdorf, ICSW
Clinical Social Worker in Wausau, Wisconsin
NPI 1659387603

Mark Mixdorf is a Clinical Social Worker based in Wausau, WI and is specialized in Clinical. Mark Mixdorf practices in Wausau, WI and has the professional credentials of ICSW. The NPI Number for Mark Mixdorf is 1659387603 and holds a License No. 2541-123 (Wisconsin).

The current practice location address for Mark Mixdorf is 1100 Lake View Dr, Wausau, WI and can be reached out via phone at 715-848-4600 and via fax at 715-845-5398.

Location: 1100 Lake View Dr, Wausau, WI, 54403-6785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659387603
Provider Name
Mark Mixdorf
Credential
ICSW
Provider Entity Type
Individual
Gender
Male
Address
1100 Lake View Dr, Wausau, WI, 54403-6785
Phone Number
715-848-4600
Fax Number
715-845-5398
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39661600 05 WI
institution
Provider Business Practice Location Address Details
Address
1100 Lake View Dr
City
Wausau
State
Wisconsin
Zip
54403-6785
Phone Number
715-848-4600
Fax Number
715-845-5398
person
Provider Business Mailing Address Details
Address
1100 Lake View Dr
City
Wausau
State
Wisconsin
Zip
54403-6785
Phone Number
715-848-4600
Fax Number
715-845-5398
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
2541-123 (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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