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MR. MYRON IRVING HUSTAD MSW LCSW ACSW AAMFT NPI 1629159355


NPI Information

NPI: 1629159355
Provider Name: MR. MYRON IRVING HUSTAD, MSW LCSW ACSW AAMFT
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
5000 WEST NATIONAL AVENUE
MILWAUKEE, WI
ZIP 53295
Phone: (414) 384-2000
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MR. Myron Irving Hustad, MSW LCSW ACSW AAMFT 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. MR. Myron Irving Hustad, MSW LCSW ACSW AAMFT NPI is 1629159355. 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:

5000 WEST NATIONAL AVENUE
MILWAUKEE, WI
ZIP 53295
Phone: (414) 384-2000
Fax: (414) 382-5295

The enumeration date for this NPI number is 10/18/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical2246123WISCONSINYes
2106H00000XMarriage & Family Therapist241124WISCONSINX

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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