NPI 1124791595 · live from the CMS NPI Registry
Advance Clinical Services
Social Worker, Clinical in Kenosha, WI. National Provider Identifier 1124791595, active.
NPI record
| NPI | 1124791595 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 |
| Practice phone | 262-694-3718 |
| Enumerated | July 30, 2021 |
| Last updated | August 22, 2025 |
| Authorized official | Nicholas Olsen, Owner |
| Other names | Advance Clinical Services LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.