MICHAEL IZZO (NPI# 1356621072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356621072 |
| Entity Type | Individual |
| Full Name | MICHAEL IZZO |
| Credential | LCSW, LAC |
| Practice Address |
4000 W Spencer St Appleton WI 54914-4015 |
| Practice Telephone | 9207359010 |
| Practice Fax Number | 9207359050 |
| Mailing Telephone | 9207359010 |
| Mailing Fax Number | 9207359050 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15586132 | WI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7762123 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508411810 | Michael Richard Izzo | Pharmacist | 104 Reservoir Rd, Little Falls, NY 13365-5924 | 2019-08-04 |
| 1093733115 | Michael A Izzo | Dentist | 1310 Warwick Ave, Lincoln Park, MI 48146-1721 | 2006-07-17 |
| 1710974985 | Michael A Izzo | Podiatrist | 1045 Wehrle Dr, Williamsville, NY 14221-7723 | 2005-10-04 |
| 1770077612 | Michael Izzo | Internal Medicine | 110 Irving St. Nw, Dept. of Ophthalmology, Washington, DC 20010 | 2018-06-14 |
| Street Address |
4000 W SPENCER ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518029974 | Renee H. Slusarski | Counselor | 4000 W Spencer St, Appleton, WI 54914-4015 | 2006-12-14 |
| 1255670501 | Samantha Philo | Counselor | 4000 W Spencer St, Appleton, WI 54914-4015 | 2013-02-06 |
| 1730451865 | Jeanette Ksionek | Counselor | 4000 W Spencer St, Appleton, WI 54914-4015 | 2012-02-06 |
| 1336417732 | Samuel Scharpf | Counselor | 4000 W Spencer St, Appleton, WI 54914-4015 | 2011-12-13 |
| 1770883043 | Heather Marie Martin | Counselor | 4000 W Spencer St, Appleton, WI 54914-4015 | 2010-11-02 |
| 1255656914 | Anne Mclaren | Social Worker | 4000 W Spencer St, Appleton, WI 54914-4015 | 2010-04-06 |
| 1639494115 | Nicole Bushman | Social Worker | 4000 W Spencer St, Appleton, WI 54914-4015 | 2010-03-29 |
| 1922323344 | Bruce Davis | Counselor | 4000 W Spencer St, Appleton, WI 54914-4015 | 2010-03-29 |
| 1265762603 | Melissa Gabriel | Counselor | 4000 W Spencer St, Appleton, WI 54914-4015 | 2010-01-07 |
| 1407091101 | Options Lab, Inc. | Clinical Medical Laboratory | 4000 W Spencer St, Appleton, WI 54914-4015 | 2008-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| 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 |
|---|---|---|---|---|
| 1922616895 | Maria Recker | Social Worker | N319 Hillside Dr, Appleton, WI 54915-9449 | 2020-07-16 |
| 1447762547 | Jennifer L Markvart | Social Worker | 5497 W Waterford Ln Ste C, Appleton, WI 54913-8489 | 2017-10-30 |
| 1669823381 | Andrea Guenther-pal | Social Worker | 477 S Nicolet Rd Ste 1, Appleton, WI 54914-8270 | 2016-06-23 |
| 1245617679 | Michelle Lee Van Thiel I | Social Worker | N9487 County Rd N, Appleton, WI 54915-9316 | 2015-05-06 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1720428030 | Andrea F Fralin | Social Worker | 4635 W College Ave, Appleton, WI 54914-8507 | 2013-07-01 |
| 1417200981 | Shereen E Leroy | Social Worker | 14 Tri Park Way Bldg 2, Appleton, WI 54914-6445 | 2012-10-22 |
| 1619243219 | Kristy L Robb | Social Worker | 412 E Longview Dr Ste C, Appleton, WI 54911-2168 | 2012-03-28 |
| 1891077806 | Breanna L Vonck-arndt | Social Worker | 424 E Longview Dr Ste A, Appleton, WI 54911 | 2011-09-15 |
| 1275708497 | Kathryn Augusta Blanker | Social Worker | 14 Tri Park Way, Bldg 2, Appleton, WI 54914-6430 | 2008-04-29 |
| Find all providers in APPLETON | ||||
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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.