Community Memorial Hospital, NPI 1629302831
Clinical Social Worker in Oconto Falls, WI, US
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 |
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 | |
| Taxonomy Name | Clinical Social Worker |
| Classification | |
| Group | |
| 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 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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