CANDACE T BREAULT (NPI# 1699864918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699864918 |
| Entity Type | Individual |
| Full Name | CANDACE T BREAULT |
| Credential | LCSW |
| Practice Address |
2500 Hall Ave Marinette County Health and Human Services Ste A Marinette WI 54143 |
| Practice Telephone | 7157327760 |
| Practice Fax Number | 7157327711 |
| Mailing Telephone | 7157327760 |
| Mailing Fax Number | 7157327711 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3346123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39638400 | 05 | |
| WI | LICENSE | 3346123 | 01 |
| Street Address |
2500 HALL AVE MARINETTE COUNTY HEALTH AND HUMAN SERVICES STE A |
| City | MARINETTE |
| State | WI |
| Zip Code | 54143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427030857 | Robert Kevin Lafountain | Social Worker | 2500 Hall Ave, Marinette, WI 54143-1604 | 2005-11-21 |
| 1053923664 | Ashley Primley | Registered Nurse | 2500 Hall Ave, Marinette, WI 54143-1655 | 2020-08-17 |
| 1407467459 | Mary Hiebel | Behavior Technician | 2500 Hall Ave, Marinette, WI 54143-1655 | 2020-08-13 |
| 1508483637 | Sarah Hilz | Behavior Technician | 2500 Hall Ave, Marinette, WI 54143-1655 | 2020-07-06 |
| 1063053494 | Ashley Yungwirth | Social Worker | 2500 Hall Ave, Marinette, WI 54143-1655 | 2019-10-07 |
| 1760962351 | Kasey Ledesma | Case Manager/Care Coordinator | 2500 Hall Ave, Marinette, WI 54143-1655 | 2018-08-14 |
| 1265928402 | Steven Hahn | Counselor | 2500 Hall Ave, Marinette, WI 54143-1655 | 2018-07-10 |
| 1154823482 | Ashley Schutz | Social Worker | 2500 Hall Ave, Marinette, WI 54143-1655 | 2018-03-02 |
| 1922507862 | Sarah L Frye | Counselor | 2500 Hall Ave, Marinette, WI 54143-1655 | 2018-02-06 |
| 1912412669 | Anthony Tickler | Social Worker | 2500 Hall Ave, Marinette, WI 54143-1655 | 2017-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966750 | Allie Parthie | Dentist | 1420 University Dr, Marinette, WI 54143 | 2018-06-21 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1538698618 | Meghan M Russell | Nurse Practitioner | 4061 Old Peshtigo Road, Marinette, WI 54143 | 2017-06-12 |
| 1801279435 | Stephanie Miller | Licensed Practical Nurse | W1902 State Hwy 64, Marinette, WI 54143 | 2015-07-01 |
| 1417298704 | Danielle Risner | Occupational Therapist | Luther Home 831 Pine Beach Rd, Marinette, WI 54143 | 2013-03-12 |
| 1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
| 1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
| 1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
| 1538338926 | Charlene Mae Miller | Licensed Practical Nurse | 1126 Daggett, Marinette, WI 54143 | 2008-02-29 |
| 1104025519 | James Alan Boren | Family Medicine | 5926 Highway 41, Stephenson, MI 54143 | 2007-07-16 |
| Find all providers in zip 54143 | ||||
| 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 |
|---|---|---|---|---|
| 1619277811 | Jessica Beauchamp | Social Worker | N4283 State Highway 180, Marinette, WI 54143-9366 | 2010-10-22 |
| 1770660342 | Debra A Mullen | Social Worker | 844 Pierce Ave, Marinette, WI 54143-1820 | 2006-11-01 |
| 1477529105 | Robert M Valentine | Social Worker | 2500 Hall Ave Ste A, Marinette, WI 54143-1656 | 2006-02-23 |
| 1427030857 | Robert Kevin Lafountain | Social Worker | 2500 Hall Ave, Marinette, WI 54143-1604 | 2005-11-21 |
| 1669008488 | Karin Beal | Social Worker | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2020-03-13 |
| 1366896839 | Bellin Psychiatric Center Inc | Social Worker | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2016-04-20 |
| 1760887764 | Kristina Kartheiser | Social Worker | 2500 Hall Ave Ste A, Marinette, WI 54143-1656 | 2014-11-03 |
| 1164676359 | Elizabeth J Jarvie | Social Worker | 2500 Hall Ave Ste B, Marinette, WI 54143-1656 | 2008-11-14 |
| 1447451208 | Cynthia Churm | Social Worker | 2500 Hall Ave, Suite A, Marinette, WI 54143-1604 | 2007-05-30 |
| 1053443598 | Cheryl Krueger | Social Worker | 1602 Main St, Marinette, WI 54143-1806 | 2007-03-11 |
| Find all providers in MARINETTE | ||||
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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.