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Diane M Moga-roach, MSE,LCSW,LPC,CEAP
Clinical Social Worker in Green Bay, Wisconsin
NPI 1700923471

Diane M Moga-roach is a Clinical Social Worker based in Appleton, WI and is specialized in Clinical. Diane M Moga-roach practices in Green Bay, WI and has the professional credentials of MSE,LCSW,LPC,CEAP. The NPI Number for Diane M Moga-roach is 1700923471 and holds a License No. 1849-125 (Wisconsin).

The current practice location address for Diane M Moga-roach is 2733 S Ridge Rd, Green Bay, WI and can be reached out via phone at 920-497-6200 and via fax at 920-497-3135.

Location: 2733 S Ridge Rd, Green Bay, WI, 54913-9790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700923471
Provider Name
Diane M Moga-roach
Credential
MSE,LCSW,LPC,CEAP
Provider Entity Type
Individual
Gender
Female
Address
2733 S Ridge Rd, Green Bay, WI, 54913-9790
Phone Number
920-497-6200
Fax Number
920-497-3135
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39742500 05 WI
institution
Provider Business Practice Location Address Details
Address
2733 S Ridge Rd
City
Green Bay
State
Wisconsin
Zip
54304-5513
Phone Number
920-497-6200
Fax Number
920-497-3135
person
Provider Business Mailing Address Details
Address
2733 S Ridge Rd
City
Green Bay
State
Wisconsin
Zip
54304-5513
Phone Number
920-497-6200
Fax Number
920-497-3135
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
3562-123 (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.
1849-125 (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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