NPI 1194286294 · live from the CMS NPI Registry
1-9 Youth & Family Services
Social Worker, Clinical in Milwaukee, WI. National Provider Identifier 1194286294, active.
NPI record
| NPI | 1194286294 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2201 N Mlk Dr, Milwaukee, WI 53212 |
| Practice phone | 414-630-4986 |
| Mailing address | 3603 N Humboldt Blvd, Milwaukee, WI 53212 |
| Enumerated | March 29, 2019 |
| Last updated | March 29, 2019 |
| Authorized official | Dorothy Mccollum, Director |
| Other names | One-Nine Counseling Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | — |
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.