Unknown Individual – Clinical Social Worker, NPI 1285712539
Clinical Social Worker
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
10303, North Port Washington Road, Mequon, Ozaukee County, Wisconsin, 53092, United States
SUITE 203
MEQUON, WI 53092
Phone: (262) 241-5955
Fax: (262) 241-5926
Mailing address matches the actual address.
NPPES updates history
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 98 | 13 | $0 |
Insurance plans in this area (ZIP 53092)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | WI | |
| Clinical Psychologist | WI | |
| Psychiatry, General Practice | WI | |
| Mental Health Counselor | WI | |
| Clinical Psychologist | WI | |
| Mental Health Counselor | WI | |
| Clinical Social Worker | WI | |
| Clinical Psychologist | WI | |
| Clinical Social Worker | WI | |
| P S Y C H I A T R Y | WI |
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