OLIN KIRK YAUCHLER LCSW NPI 1104863596

NPI Information

NPI: 1104863596
Provider Name: OLIN KIRK YAUCHLER, LCSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
3011 SAYLESVILLE RD
WAUKESHA, WI
ZIP 53189
Phone: (262) 928-6900
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Olin Kirk Yauchler, LCSW is an addiction (substance use disorder) counselor in Waukesha, WI. Olin Kirk Yauchler, LCSW NPI is 1104863596. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3011 SAYLESVILLE RD
WAUKESHA, WI
ZIP 53189
Phone: (262) 928-6900
Fax: (262) 928-3815

The NPI 1104863596 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 6/2/2006 and was last updated on 12/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	7117123	WISCONSIN	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	13936131	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	43706200	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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