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AURORA COMMUNITY COUNSELING EMPLOYEE SUPPORT AND SERVICES INC. NPI 1639329113


NPI Information

NPI: 1639329113
Provider Name: AURORA COMMUNITY COUNSELING EMPLOYEE SUPPORT AND SERVICES, INC.
Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
24670 STATE ROAD 35 70
SUITE 1200
SIREN, WI
ZIP 54872
Phone: (715) 349-7233
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AURORA COMMUNITY COUNSELING EMPLOYEE SUPPORT AND SERVICES, INC. is a social worker in Siren, 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. AURORA COMMUNITY COUNSELING EMPLOYEE SUPPORT AND SERVICES, INC. NPI is 1639329113. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24670 STATE ROAD 35 70
SUITE 1200
SIREN, WI
ZIP 54872-418
Phone: (715) 349-7233
Fax: (715) 349-7205

The provider's authorized official is Kelly Johnson .
The authorized official title is Credentialing Manager and has the following contact phone number (715) 532-9771.

The enumeration date for this NPI number is 9/22/2008 and was last updated on 9/22/2008.


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
1104100000XSocial Worker2632WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
142244500MEDICAIDWISCONSIN

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: 11/14/2023

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