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DERECK WOLFGRAM LCSWSAC-IT NPI 1174093744


NPI Information

NPI: 1174093744
Provider Name: DERECK WOLFGRAM, LCSW,SAC-IT
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
555 S INDUSTRIAL DR
HARTLAND, WI
ZIP 53029
Phone: (262) 404-4049
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Dereck Wolfgram, LCSW,SAC-IT is a social worker in Hartland, WI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Dereck Wolfgram, LCSW,SAC-IT NPI is 1174093744. 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:

555 S INDUSTRIAL DR
HARTLAND, WI
ZIP 53029-338
Phone: (262) 404-4049

The enumeration date for this NPI number is 11/27/2018 and was last updated on 3/12/2020.


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
1104100000XSocial Worker131050WISCONSINYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.