Community Memorial Hospital, NPI 1629302831
Clinical Social Worker in Oconto Falls, WI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1629302831
NPI Entity Type Organization
Provider Name Community Memorial Hospital
Doing Business As
Subpart of Organization Community Memorial Hospital
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 855 S Main St, Oconto Falls, WI, US
Provider Mailing Address 855 S Main St, Oconto Falls, WI, US, 541541241
Is Sole Proprietor? No
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Organization Official

Official Name Jim L Van Dornick
Official Position CEO
Phone 920-846-3444

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

1041C0700X

Taxonomy Name Clinical Social Worker
Classification

Social Worker

Group

Behavioral Health & Social Service Providers

License No. 7421-123
License State WI
Description 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.

Other Organization Name

Community Memorial Hospital Social Services
Doing Business As

Business Address

Community Memorial Hospital
855 S Main St

Oconto Falls, WI, US

Phone: 920-846-3444
Fax: 920-846-0250

Mailing Address

Community Memorial Hospital
855 S Main St
Oconto Falls, WI, US
ZIP 541541241
Phone: 920-846-3444
Fax: 920-846-0250

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

1041C0700X

Behavioral Health & Social Service Providers

Social Worker

6699-123 WI No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1346393287 WI WINIUS NPI 01
1851477913 WI CMH NPI 01
1922270693 WI FLETCHER NPI 01
11014110 WI MEDICAID 05
1326349135 WI CMH SB NPI 01

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DR. D.O. Meredith Caroline Schaffner

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Organization

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Organization

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MRS. LPC Holly L Doughty

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Fort Healthcare, Inc

Organization

Home Health Agency

611 Sherman Ave E

Fort Atkinson, WI

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