MS. DIANE ROSE CARR


Address: 16535 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5936
Phone: 2627891191

MS. DIANE ROSE CARR (NPI# 1417051483) 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) 1417051483
Entity Type Individual
Full Name MS. DIANE ROSE CARR
Credential LCSW
Practice Address 16535 W Bluemound Rd
Suite 200
Brookfield
WI 53005-5936
Mailing Address 415 Lake St
Mukwonago
WI 53149-1328
Practice Telephone 2627891191
Practice Fax Number 2628216180
Mailing Telephone 2623635152
Enumeration Date 2006-09-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
1100-123 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 40957700 05

Other Providers DIANE CARR

NPI Name Taxonomy Address Enumeration
1811959059 Diane Claire Carr Nurse Practitioner 30 Van Ness Ave, Suite 2300, San Francisco, CA 94102-6020 2006-04-04
1831727783 Diane Marie Carr Student in an Organized Health Care Education/Training Program 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 2020-03-27

Office Location

Street Address 16535 W BLUEMOUND RD
SUITE 200
City BROOKFIELD
State WI
Zip Code 53005-5936

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205824604 Damon William Buckett Social Worker 16535 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5936 2005-10-10
1184076754 Nicholas Joseph Overbaugh Counselor 16535 W Bluemound Rd, Brookfield, WI 53005-5936 2016-07-07
1902278146 Arriann Tauer Counselor 16535 W Bluemound Rd, Suite 305, Brookfield, WI 53005-5936 2015-10-27
1376912972 Ashley Ross Counselor 16535 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5936 2015-09-24
1336401876 Melissa Marie Burchardt Dietitian, Registered 16535 W Bluemound Rd, Suite 222, Brookfield, WI 53005-5936 2012-06-11
1487911202 Diane Philippi Counselor 16535 W Bluemound Rd, Suite 222, Brookfield, WI 53005-5936 2012-04-18
1184998403 Aaron Ezekiel Munson Counselor 16535 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5936 2012-03-05
1639478308 Robin R Miller Counselor 16535 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5936 2011-03-21
1083919724 Andrea Marie Lange Chiropractor 16535 W Bluemound Rd, Suite 222, Brookfield, WI 53005-5936 2011-01-11
1306158001 Britt Ann Peterson Psychologist 16535 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5936 2010-07-09
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NPI Name Taxonomy Address Enumeration
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1780142588 Ashley Wing Registered Nurse 405 Bishops Way, Apt 555, Brookfield, WI 53005 2019-03-11
1407370398 Tombolo, LLC Clinic/Center 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 2017-08-01
1720509045 Rss William Conner LLC Dentist 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 2017-06-28
1669926598 Mackenzie Rondeau Physical Therapist 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 2016-08-09
1699159319 Charles Alan Kass Dentist 12720 W. North Avenue, Brookfield, WI 53005 2015-07-13
1164804274 Mary-catherine Nimphius Counselor 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 2015-06-25
1528447034 Weighless Md, LLC Dietitian, Registered 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 2015-05-29
1366837346 Maegan Michelle Cook Dentist 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 2015-04-06
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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
1346848645 Theresa Marie Mcgorty Social Worker 10 Apache Dr, Brookfield, CT 06804-3100 2020-10-09
1174133409 Jessica Lynn Passero Social Worker 875 Lakeview Dr Apt 101, Brookfield, WI 53045-5665 2020-08-02
1720696867 Samantha Lynn Ferris Social Worker 398a Federal Rd Unit 427, Brookfield, CT 06804-2459 2020-07-15
1033772124 Dbt Consultants LLC Social Worker 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 2019-04-15
1316442239 Robyn Raquel Armstrong Social Worker 25700 Image Rd, Brookfield, MO 64628-8031 2018-03-25
1851803449 Raymond Vincent Distephan Social Worker 11 Old Woods Rd, Brookfield, CT 06804-3630 2017-11-03
1699224212 Western Ct Counseling Associates Social Worker 300 Federal Road, Suite 209, Brookfield, CT 06804-2412 2016-09-23
1245699859 Jill Panther Social Worker 2445 Memorial Dr, Brookfield, WI 53045-4323 2016-02-11
1184009706 Katherine Coffey Social Worker 54 Berkshire Dr, Brookfield, CT 06804-1435 2015-07-24
1750760138 Thomas M Foster Psychotherapist Social Worker 15 Canterbury Ct, Brookfield, CT 06804-2726 2015-05-19
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Competitor

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City BROOKFIELD
Zip Code 53005

Improve Information

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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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