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Thomas Shane Bolan, LCSW,CSAC
Clinical Social Worker in Middleton, Wisconsin
NPI 1770703431

Thomas Shane Bolan is a Clinical Social Worker based in Middleton, WI and is specialized in Clinical. Thomas Shane Bolan practices in Middleton, WI and has the professional credentials of LCSW,CSAC. The NPI Number for Thomas Shane Bolan is 1770703431 and holds a License No. 15382-132 (Wisconsin).

The current practice location address for Thomas Shane Bolan is 3207 Laura Ln Ste 100, Middleton, WI and can be reached out via phone at 608-290-0956.

Location: 3207 Laura Ln Ste 100, Middleton, WI, 53562-1428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770703431
Provider Name
Thomas Shane Bolan
Credential
LCSW,CSAC
Provider Entity Type
Individual
Gender
Male
Address
3207 Laura Ln Ste 100, Middleton, WI, 53562-1428
Phone Number
608-290-0956
Fax Number
Provider Enumeration Date
04/26/2007
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
3207 Laura Ln Ste 100
City
Middleton
State
Wisconsin
Zip
53562-1428
Phone Number
608-290-0956
Fax Number
person
Provider Business Mailing Address Details
Address
3207 Laura Ln Ste 100
City
Middleton
State
Wisconsin
Zip
53562-1428
Phone Number
608-290-0956
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
8420-123 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
8420-123 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
15382-132 (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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