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CHILDREN'S MEDICAL GROUP INC NPI 1518625342


NPI Information

NPI: 1518625342
Provider Name: CHILDREN'S MEDICAL GROUP, INC

Doing Business As: CRAIG YABUKI MENTAL HEALTH WALK-IN CLINIC

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
9000 W WISCONSIN AVE STE 240
MILWAUKEE, WI
ZIP 53226
Phone: (414) 337-3400
Get Directions

CHILDREN'S MEDICAL GROUP, INC is a clinical social worker in Milwaukee, WI. The provider is 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. CHILDREN'S MEDICAL GROUP, INC NPI is 1518625342. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Craig Yabuki Mental Health Walk-in Clinic.

The provider's business location address is:

9000 W WISCONSIN AVE STE 240
MILWAUKEE, WI
ZIP 53226-874
Phone: (414) 337-3400
Fax: (414) 337-3409

The provider's authorized official is Smriti S Khare .
The authorized official title is President, Children's Medical Group and has the following contact phone number (414) 764-5726.

The enumeration date for this NPI number is 11/29/2021 and was last updated on 10/18/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalNo
3103T00000XPsychologistNo
4104100000XSocial WorkerNo
5106H00000XMarriage & Family TherapistNo
62084P0800XPsychiatry & NeurologyPsychiatryNo
72084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
8261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
91041C0700XSocial WorkerClinicalYes

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

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