NPI Details
Mary C Girsh-jensen, LCSW CSAC is a clinical social worker in Kenosha, WI with 31 years of experience. 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. Mary C Girsh-jensen, LCSW CSAC NPI is 1578961181. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year:1994
The provider's business location address is:
3601 30TH AVE
SUITE 102
KENOSHA, WI
ZIP 53144-695
Phone: (262) 654-0487
Fax: (262) 654-2434
The NPI 1578961181 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Psychotherapy, 45 minutes (HCPCS:90834)
The enumeration date for this NPI number is 12/12/2014 and was last updated on 12/12/2014.
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 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | 11266-132 | WISCONSIN | No |
2 | 1041C0700X | Social Worker | Clinical | 7062-123 | WISCONSIN | Yes |