DOOR COUNTY DEPARTMENT OF COMMUNITY PROGRAMS (NPI# 1558518076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558518076 |
| Entity Type | Organization |
| Organization Name | DOOR COUNTY DEPARTMENT OF COMMUNITY PROGRAMS |
| Other Organization Name | DOOR COUNTY COMMUNITY SUPPORT PROGRAM |
| Practice Address |
421 Nebraska St Sturgeon Bay WI 54235-2225 |
| Practice Telephone | 9207462345 |
| Practice Fax Number | 9207462439 |
| Mailing Telephone | 9207462345 |
| Mailing Fax Number | 9207462439 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |
| Authorized Official Name | MS. SHERYL FAYE FLORES (CSP COORDINATOR) |
| Authorized Official Telephone | 9207462345 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | DOOR COUNTY COMMUNITY SUPPORT PROGRAM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1510-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39693300 | 05 |
| Other Name | Type Code |
|---|---|
| Door County Community Support Program | Doing Business As Name - Organization |
| Street Address |
421 NEBRASKA ST |
| City | STURGEON BAY |
| State | WI |
| Zip Code | 54235-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982680005 | Joseph A. Krebsbach | Counselor | 421 Nebraska St, Sturgeon Bay, WI 54235-2249 | 2005-12-20 |
| 1356958979 | Brianna C Franken | Case Manager/Care Coordinator | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2020-09-28 |
| 1619598109 | Katherine Rose Moore | Case Manager/Care Coordinator | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2020-05-06 |
| 1396371217 | Danielle Nyman | Case Manager/Care Coordinator | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2020-03-23 |
| 1063048510 | Dustin Brockway | Case Manager/Care Coordinator | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2020-03-17 |
| 1316573702 | Anna Christina Calhoun | Case Manager/Care Coordinator | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2020-03-17 |
| 1851925879 | Ashley Thornton | Occupational Therapist | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2020-02-28 |
| 1265077481 | Cassaundra Bratz | Counselor | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2019-11-12 |
| 1215418223 | Melissa M Xiong | Social Worker | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2018-08-27 |
| 1871073064 | Abby Brown | Social Worker | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2018-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406648 | Door County Young Men's Christian Association Inc | Health Educator | 1900 Michigan Street, Sturgeon Bay, WI 54235 | 2017-09-25 |
| 1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
| 1578797684 | Rejuvenate Life Chiropractic, LLC | Chiropractor | 44 S 2nd Ave, Sturgeon Bay, WI 54235 | 2009-05-05 |
| 1316198765 | Sheryl Faye Flores | Social Worker | 421 Nebraska Street, Door County Community Programs, Sturgeon Bay, WI 54235 | 2008-10-03 |
| 1609023084 | Leah Rose Wiegand | Licensed Practical Nurse | 925 S. Oxford Ave, Apt 142, Sturgeon Bay, WI 54235 | 2008-08-27 |
| 1609034297 | Laurie T Hoffman | Speech-Language Pathologist | 447 No 6th Ave, Sturgeon Bay, WI 54235 | 2008-05-30 |
| 1841477908 | Randall C Rasmussen | Chiropractor | 5867 Timber Ridge Road, Sturgeon Bay, WI 54235 | 2008-01-30 |
| 1558542910 | Katherine Ann Sperber | Hearing Instrument Specialist | 611d Jefferson, Sturgeon Bay, WI 54235 | 2007-11-14 |
| 1750572913 | Kristine M Matysiak | Physician Assistant | 323 S. 18th Avenue, Sturgeon Bay, WI 54235 | 2007-08-05 |
| 1215141841 | Eyes for You Inc | Technician/Technologist | 160 Cherry Point Mall, Sturgeon Bay, WI 54235 | 2007-05-10 |
| Find all providers in zip 54235 | ||||
| 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 |
|---|---|---|---|---|
| 1316198765 | Sheryl Faye Flores | Social Worker | 421 Nebraska Street, Door County Community Programs, Sturgeon Bay, WI 54235 | 2008-10-03 |
| 1124007349 | Susan J Mcaninch | Social Worker | 20 S 1st Ave, Sturgeon Bay, WI 54235-2546 | 2006-01-16 |
| 1871106492 | Allycia E Bretl | Social Worker | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2020-08-24 |
| 1306360201 | Simon Rabas | Social Worker | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2017-08-01 |
| 1598067225 | Janet M Tilkens-vanderven | Social Worker | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2010-12-01 |
| 1588991293 | Mona E Pagel | Social Worker | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2009-11-17 |
| 1538120993 | Allen L Lukach | Social Worker | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2006-03-28 |
| 1093781536 | William G Nick | Social Worker | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2006-02-24 |
| 1174507982 | Callie Ann Krauel | Social Worker | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446257 | Richard Harry Goldberg | Social Worker | 1514 Wood Ln, Madison, WI 53705-1457 | 2020-10-29 |
| 1710586219 | Megan Beckler | Social Worker | 49 Kessel Ct Bldg 25, Madison, WI 53711-6200 | 2020-10-26 |
| 1912506908 | Compassionate Clinical Services, LLC | Social Worker | 1314 S 1st St # 210, Milwaukee, WI 53204-2405 | 2020-10-20 |
| 1326655564 | Ryan Joseph Jones | Social Worker | 904 Angelo Rd, Sparta, WI 54656-1416 | 2020-09-30 |
| 1841805033 | Alyssa Kress | Social Worker | 3805 Mount View Ave Apt 17, Weston, WI 54476-6449 | 2020-09-14 |
| 1659986560 | Association of Community Empowerment, LLC | Social Worker | 3500 N Sherman Blvd Ste 303, Milwaukee, WI 53216-3463 | 2020-09-09 |
| 1316550205 | Ellice Plant | Social Worker | 2643 N Newhall St, Milwaukee, WI 53211-3517 | 2020-08-28 |
| 1609488634 | Megan Wrenn | Social Worker | 1211 County Road I, Hudson, WI 54016-6916 | 2020-08-20 |
| 1801407895 | Maxine Fran Rabinowe | Social Worker | 1943 N Summit Ave Apt 14, Milwaukee, WI 53202-1386 | 2020-08-12 |
| 1275143521 | Sara Kay Zwieg | Social Worker | 851 Rogers St, Milton, WI 53563-1767 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
| City | STURGEON BAY |
| Zip Code | 54235 |
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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.