BRYAN MISCHLER (NPI# 1255704201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255704201 |
| Entity Type | Individual |
| Full Name | BRYAN MISCHLER |
| Credential | LCSW |
| Practice Address |
40 Camelot Dr Fond Du Lac WI 54935-8049 |
| Practice Telephone | 9209262300 |
| Practice Fax Number | 9209078209 |
| Mailing Telephone | 9209262300 |
| Mailing Fax Number | 9209078209 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2018-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 129967 - 121 | WI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
8878-123 | WI | Behavioral Health & Social Service Providers |
| Street Address |
40 CAMELOT DR |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-8049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639243710 | Patricia Ann O'hearn | Counselor | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2006-11-20 |
| 1700414489 | Heather A Beaudoin | Social Worker | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2020-03-30 |
| 1437791431 | Emily Connovich | Behavior Technician | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2019-10-10 |
| 1598314973 | Danyel Lynn Syms | Social Worker | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2019-09-09 |
| 1417517558 | Krista Schmitz | Behavior Technician | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2019-06-20 |
| 1346808185 | Makenna Mitchell | Behavioral Analyst | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2019-06-05 |
| 1174091888 | David Francione | Social Worker | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2018-11-12 |
| 1760902191 | Agnesian Healthcare Inc | Clinic/Center | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2017-06-27 |
| 1841404258 | Elizabeth Scott Rogers-doll | Psychologist | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2007-05-09 |
| 1942429949 | Anne Clair Brunette | Social Worker | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033560016 | Johanna Manthey | Social Worker | 74 S Main St Ste 103, Fond Du Lac, WI 54935-4274 | 2016-06-30 |
| 1467591131 | Rosonna Sue Comers | Social Worker | N6687 Wrightway Dr, Ste D, Fond Du Lac, WI 54937 | 2007-02-06 |
| 1649346438 | Judith A Pollard | Social Worker | 551 W Johnson St, Fond Du Lac, WI 54935 | 2006-11-27 |
| 1598314973 | Danyel Lynn Syms | Social Worker | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2019-09-09 |
| 1578014817 | Carolyn V Essmann | Social Worker | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2016-10-21 |
| 1487868139 | Sharon Ann Teschke | Social Worker | 196 3rd St, Fond Du Lac, WI 54935-4418 | 2007-05-10 |
| 1982826509 | Gregory A Henderson | Social Worker | 40 Camelot Drive, Fond Du Lac, WI 54935 | 2007-05-03 |
| 1336360429 | Jacquelyn Mae Block | Social Worker | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2007-05-02 |
| 1942429949 | Anne Clair Brunette | Social Worker | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2007-04-25 |
| 1760519433 | Christine Joanne Schwalbach | Social Worker | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2007-02-28 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.