NICOLE WOOTERS


Address: 3522 W Lisbon Ave, Milwaukee, WI 53208
Phone: 4149358000

NICOLE WOOTERS (NPI# 1699228080) 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) 1699228080
Entity Type Individual
Full Name NICOLE WOOTERS
Credential LCSW
Practice Address 3522 W Lisbon Ave
Milwaukee
WI 53208
Mailing Address Po Box 80257
Milwaukee
WI 53208-8004
Practice Telephone 4149358000
Practice Fax Number 4143443396
Mailing Telephone 4149358000
Mailing Fax Number 4143443396
Enumeration Date 2016-08-02
Last Update Date 2018-05-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
8512-123 WI Behavioral Health & Social Service Providers

Office Location

Street Address 3522 W LISBON AVE
City MILWAUKEE
State WI
Zip Code 53208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215915194 Benjamin Salazar Yabut Jr. Family Medicine 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 2006-01-03
1508492885 Max Carpenter Dentist 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 2020-03-18
1538712658 Joshua David Spierer Social Worker 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 2019-07-17
1477106730 Toni Delagardelle Nurse Practitioner 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 2019-07-16
1477114452 Samantha Ellen Neuroth Dental Hygienist 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 2019-06-21
1376014563 Shannon M Engel Dental Hygienist 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 2018-12-16
1831675362 Francesca Napolitano Pharmacist 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 2018-07-18
1508382276 Smriti Madrecha Dentist 3522 W Lisbon Ave, Milwaukee, WI 53208 2017-08-15
1588103097 Jason Holt Dentist 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 2017-02-16
1972058824 Courtney L Schmitz Nurse Practitioner 3522 W Lisbon Ave, Milwaukee, WI 53208 2016-08-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831662535 Mary Ehrgood Marriage & Family Therapist Aurora Family Service, 3200 W Highland Blvd, Milwaukee, WI 53208 2019-01-04
1265976989 Redeeming Hearts Home Care Agency, LLC Home Health 3223 W Lloyd St, Milwaukee, WI 53208 2016-12-14
1205379500 Benjamin Michael Bleck-owens Counselor 5508 W. Vliet Street, Milwaukee, WI 53208 2016-11-18
1730552662 John Bosnjak Pharmacist 3727 W. Wisconsin Ave., Milwaukee, WI 53208 2015-10-30
1588074991 Quad/med, LLC Clinic/Center 1301 West Canal Street, Milwaukee, WI 53208 2014-05-07
1629407226 Dhanya Jayadevan Nair Marriage & Family Therapist 3200 W. Highland Blvd., Milwaukee, WI 53208 2013-11-04
1619215704 Nurturing Concepts LLC In Home Supportive Care 5722 W North Ave, Milwaukee, WI 53208 2013-01-23
1831447986 Amy Schuldt Registered Nurse 3727 W. Wisconsin Aveune, Milwaukee, WI 53208 2012-08-21
1144588922 Grassroots Empowerment Project Inc Community Health Worker 3732 W Wisconsin Ave, Milwaukee, WI 53208 2012-04-30
1245468180 Elizabeth Adams Registered Nurse 1917 N 34 Th St, Milwaukee, WI 53208 2009-06-30
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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
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
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Competitor

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City MILWAUKEE
Zip Code 53208

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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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