HOPE ROAD WELLNESS CENTER, LLC


Address: 107 Hope Road West, Frederic, WI 54837-0383
Phone: 7154915365

HOPE ROAD WELLNESS CENTER, LLC (NPI# 1588158679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588158679
Entity Type Organization
Organization Name HOPE ROAD WELLNESS CENTER, LLC
Practice Address 107 Hope Road West
Frederic
WI 54837-0383
Mailing Address Po Box 383
Frederic
WI 54837-0383
Practice Telephone 7154915365
Practice Fax Number 8006842131
Mailing Telephone 7158696484
Mailing Fax Number 8006842131
Enumeration Date 2018-06-21
Last Update Date 2018-06-21
Authorized Official Name KRISTINA M THOMPSON (MENTAL HEALTH CLINICIAN)
Authorized Official Telephone 7154915365
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
8287 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 1689004426 05

Office Location

Street Address 107 HOPE ROAD WEST
City FREDERIC
State WI
Zip Code 54837-0383

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689004426 Kristina M Thompson Social Worker 107 Hope Road West, Frederic, WI 54837-0383 2013-11-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548639636 Austin Ross Pharmacist 201 Oak St West, Frederic, WI 54837 2015-09-18
1811256126 St. Croix Regional Medical Center Clinic/Center 205 West Oak Street, Frederic, WI 54837 2012-05-07
1447497763 Saint-mark Enterprises 1855 LLC Durable Medical Equipment & Medical Supplies 110 E Oak St, Frederic, WI 54837 2009-01-08
1639263221 Pharmacy Operations Inc Pharmacy 110 E Oak Street, Frederic, WI 54837 2006-10-03
1457338139 Joseph L Marek Chiropractor 101 United Way, Frederic, WI 54837 2005-12-23
1669572590 Steven Richard Tesch Dentist 106 S Wisconsin Ave, Frederic, WI 54837-0250 2006-09-22
1306946223 Bradley Scott Harlander Dentist 106 S Wisconsin Ave, Frederic, WI 54837-0250 2006-09-22
1043499734 School District of Frederic Local Education Agency (LEA) 1437 Clam Falls Dr, Frederic, WI 54837-4547 2007-10-30
1205099579 Robin V Richey Registered Nurse 2707 100th St, Frederic, WI 54837-5026 2008-07-08
1538243068 David A Ammend Pediatrics 203 United Way, Frederic, WI 54837-8938 2006-10-24
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689004426 Kristina M Thompson Social Worker 107 Hope Road West, Frederic, WI 54837-0383 2013-11-14

Providers in the same taxonomy and state

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
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Competitor

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City FREDERIC
Zip Code 54837

Improve Information

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Dataset Information

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.

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