JOELLE KATHLEEN OTTOSON (NPI# 1679591416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679591416 |
| Entity Type | Individual |
| Full Name | JOELLE KATHLEEN OTTOSON |
| Credential | MSW, LCSW, ICS,CSAC |
| Practice Address |
4650 N Port Washington Rd Milwaukee WI 53212-1077 |
| Mailing Address |
N27w23960 Paul Rd Ste 202 Pewaukee WI 53072-6218 |
| Practice Telephone | 2626468288 |
| Practice Fax Number | 2626468255 |
| Mailing Telephone | 2626468288 |
| Mailing Fax Number | 2626468255 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2152 | WI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6145 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39773900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| N27w23960 Paul Rd Ste 202, Pewaukee, WI 530726218 | 2626468288 | 2626468255 |
| Street Address |
4650 N PORT WASHINGTON RD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212-1077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991727 | Be The Change Health and Wellness, LLC | Social Worker | 4650 N Port Washington Rd, Milwaukee, WI 53212-1077 | 2020-04-19 |
| 1902354848 | Tracey Golden | Counselor | 4650 N Port Washington Rd, Milwaukee, WI 53212-1077 | 2016-09-20 |
| 1013302611 | Jodi Anderson | Counselor | 4650 N Port Washington Rd, Milwaukee, WI 53212-1077 | 2015-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| 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 |
|---|---|---|---|---|
| 1912506908 | Compassionate Clinical Services, LLC | Social Worker | 1314 S 1st St # 210, Milwaukee, WI 53204-2405 | 2020-10-20 |
| 1659986560 | Association of Community Empowerment, LLC | Social Worker | 3500 N Sherman Blvd Ste 303, Milwaukee, WI 53216-3463 | 2020-09-09 |
| 1316550205 | Ellice Plant | Social Worker | 2643 N Newhall St, Milwaukee, WI 53211-3517 | 2020-08-28 |
| 1801407895 | Maxine Fran Rabinowe | Social Worker | 1943 N Summit Ave Apt 14, Milwaukee, WI 53202-1386 | 2020-08-12 |
| 1255953527 | Susan C. Donnelly | Social Worker | 191 N Broadway Unit 205, Milwaukee, WI 53202-6031 | 2020-05-10 |
| 1013556885 | Shalonda Renee Leflore | Social Worker | 3244 N 48th St, Milwaukee, WI 53216-3344 | 2019-12-27 |
| 1003458068 | Anaddia S Clark | Social Worker | 4929 W Fond Du Lac Aveune, Milwaukee, WI 53216-2324 | 2019-10-11 |
| 1639727258 | Lauren Marie Kubik | Social Worker | 2375 N 67th St, Milwaukee, WI 53213-1438 | 2019-08-27 |
| 1164077319 | Casey Mccarragher | Social Worker | 3330 W Wells St, Milwaukee, WI 53208-3333 | 2019-08-05 |
| 1023661659 | Edwin Bacalso | Social Worker | 2524 E Webster Pl Ste 203, Milwaukee, WI 53211-4257 | 2019-07-23 |
| Find all providers in MILWAUKEE | ||||
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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.