MELANIE M DICELLO (NPI# 1447819347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447819347 |
| Entity Type | Individual |
| Full Name | MELANIE M DICELLO |
| Other Name | MELANIE M WAMBOLDT |
| Credential | LCSW |
| Practice Address |
W231n1440 Corporate Ct Ste 310 Waukesha WI 53186-1503 |
| Practice Telephone | 4147734312 |
| Mailing Telephone | 4147734312 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
9219 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100091699 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1020 N 12th St, Milwaukee, WI 532331308 | 4142197136 |
| Street Address |
W231N1440 CORPORATE CT STE 310 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154640456 | Sharon Hempel | Marriage & Family Therapist | W231n1440 Corporate Ct Ste 310, Waukesha, WI 53186-1303 | 2010-05-26 |
| 1033638630 | Jean C Cortez | Counselor | W231n1440 Corporate Ct Ste 310, Waukesha, WI 53186-1303 | 2017-09-14 |
| 1649588872 | David Radovich | Psychologist | W231n1440 Corporate Ct Ste 310, Waukesha, WI 53186-1303 | 2010-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831670 | Sarah Penke | Social Worker | 1895 Haymarket Rd Apt 90, Waukesha, WI 53189-8507 | 2020-05-05 |
| 1902444029 | Ashley Westphal | Social Worker | 422 Hillview Cir, Waukesha, WI 53188-3228 | 2019-12-19 |
| 1093281370 | Tory Phonsavan Koetterhagen | Social Worker | W236s4564 Whispering Hills Ct, Waukesha, WI 53189-9772 | 2018-10-15 |
| 1861876138 | Nathan Amos | Social Worker | 1515 Paramount Dr, Waukesha, WI 53186-3959 | 2015-07-16 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1871998070 | Candace Lynn Williams | Social Worker | 2046 Cliff Alex Ct S Apt 3, Waukesha, WI 53189-8100 | 2014-10-30 |
| 1104975341 | Douglas Meske | Social Worker | 2607 N Grandview Blvd Ste 110, Waukesha, WI 53188 | 2007-01-09 |
| 1023170099 | Jerome Michael Loberg | Social Worker | 1501 Airport Rd., Waukesha, WI 53188 | 2006-12-15 |
| 1952416034 | Jennifer Foro | Social Worker | W231 N1440 Corporate Ct, #310, Waukesha, WI 53186 | 2006-08-20 |
| 1629099700 | Dennis Rody | Social Worker | 400 W Moreland Blvd, Waukesha, WI 53188-2412 | 2006-07-22 |
| Find all providers in WAUKESHA | ||||
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| 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.