MS. KATHERINE M THEADO


Address: 10400 W North Ave, Suite 495, Wauwatosa, WI 53226-2425
Phone: 4147773178

MS. KATHERINE M THEADO (NPI# 1174635213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174635213
Entity Type Individual
Full Name MS. KATHERINE M THEADO
Credential LCSW
Practice Address 10400 W North Ave
Suite 495
Wauwatosa
WI 53226-2425
Practice Telephone 4147773178
Practice Fax Number 4147773204
Mailing Telephone 4147773178
Mailing Fax Number 4147773204
Enumeration Date 2006-08-31
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
1421 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 41005100 05

Office Location

Street Address 10400 W NORTH AVE
SUITE 495
City WAUWATOSA
State WI
Zip Code 53226-2425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215112610 Karen S. Handrich Counselor 10400 W North Ave, Suite 495, Wauwatosa, WI 53226-2425 2008-01-03
1073798625 Wheaton Franciscan Healthcare General Acute Care Hospital 10400 W North Ave, Suite 495, Wauwatosa, WI 53226-2425 2008-01-02
1548396419 Sheldon R Forman Allergy & Immunology 10400 W North Ave, Wauwatosa, WI 53226-2425 2007-02-26
1568565646 Latha Raja Shankar Family Medicine 10400 W North Ave, Wauwatosa, WI 53226-2425 2006-09-06
1427165794 Angela M Safranek Physician Assistant 10400 W North Ave, Wauwatosa, WI 53226 2006-08-24
1871600973 Lynn S Telford Family Medicine 10400 W North Ave, Wauwatosa, WI 53226 2006-08-24
1689789695 Ann M Flatley Physician Assistant 10400 W North Ave, Wauwatosa, WI 53226-2425 2006-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912511155 Alexander Harlan Pharmacist 900 N 92nd St, Milwaukee, WI 53226 2020-09-04
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1669001103 Kimberly Tyler Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 2020-04-06
1972131993 Francesca Meloy Devine Student in an Organized Health Care Education/Training Program Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 2020-03-27
1285275248 Sharitta Alford Technician 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 2019-10-01
1619528023 Linda Marie Sabatinelli Technician 12107 W. Woodland Ave, Wauwatosa, WI 53226 2019-09-26
1598310195 Matthew Laviolette Surgery Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 2019-08-09
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1659832855 Benjamin David Seadler Surgery Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 2019-03-29
1861953267 Michael Dryden Student in an Organized Health Care Education/Training Program 8701 Watertown Plank Rd., Milwaukee, WI 53226 2019-03-27
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174038954 Shannon Marie James Social Worker 9730 W Bluemound Rd Ste 11, Wauwatosa, WI 53226-4455 2017-12-03
1922521186 Two Willows Counseling LLC Social Worker 933 N Mayfair Rd Ste 315, Wauwatosa, WI 53226-3432 2017-07-19
1093131237 Sarah Carson Social Worker 10012 W Capitol Dr Ste 101, Wauwatosa, WI 53222-1300 2014-03-12
1922441047 Carolyn J Ruck Social Worker 10855 W Potter Rd Ste 25, Wauwatosa, WI 53226-3439 2013-04-08
1154696797 Meghan P Bahr Social Worker 1220 Dewey Ave Bldg 13, Wauwatosa, WI 53213-2504 2012-03-15
1134446362 Russell S Strelnick Social Worker 7117 Cedar Street, Wauwatosa, WI 53213-3714 2010-04-28
1548418775 Amy Elizabeth Leidel Social Worker 2645 North Mayfair Road Suite 250, Wauwatosa, WI 53226 2008-08-29
1417167586 Elizabeth Ann Hunkins Social Worker 1011 N Mayfair Rd Ste 304, Wauwatosa, WI 53226-3431 2007-05-23
1912126228 Erin Meighan Social Worker 1220 Dewey Ave # 13, Wauwatosa, WI 53213-2504 2007-04-25
1770603847 Bernard Fluhr Social Worker 2600 N Mayfair Rd Ste 650, Wauwatosa, WI 53226-1322 2007-03-30
Find all providers in WAUWATOSA

Competitor

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City WAUWATOSA
Zip Code 53226

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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