MRS. ELEANOR KLINE CLAYCOMB (NPI# 1750576385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750576385 |
| Entity Type | Individual |
| Full Name | MRS. ELEANOR KLINE CLAYCOMB |
| Other Name | MRS. ELEANOR KLINE CLAYCOMB |
| Credential | M.ED L.C.S.W. |
| Practice Address |
504 Lakeland Rd Shawano WI 54166-3836 |
| Practice Telephone | 7155265547 |
| Practice Fax Number | 7155265542 |
| Mailing Telephone | 7155265547 |
| Mailing Fax Number | 7155265542 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2013-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4296-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39212900 | 05 |
| Street Address |
504 LAKELAND RD |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-3836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992894224 | Joann W Liska | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2006-10-12 |
| 1376001636 | Gregory Nordwig | Registered Nurse | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2019-03-06 |
| 1811495294 | Jenna Hammer | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2018-01-31 |
| 1326582305 | Christopher Kuhn | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2016-12-12 |
| 1659821981 | Shawano County Department of Human Services | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2016-10-11 |
| 1891180337 | Tracy Porath | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2015-04-01 |
| 1942695481 | Jeffrey Herman | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2015-04-01 |
| 1942607056 | Judy Laude | Social Worker | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2014-12-04 |
| 1750798914 | Alicia Elliott | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2014-07-18 |
| 1558778324 | Julie Behnke | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2014-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641848 | Nicole Jeannine Klotzbuecher | Optometrist | 150 County Road B, Shawano, WI 54166 | 2017-07-13 |
| 1437605714 | Jennifer Marie Franke | Counselor | 504 Lakeland St, Shawano, WI 54166 | 2016-08-28 |
| 1699017913 | Benjamin D Schlais | Family Medicine | 100 County Hwy B, Shawano, WI 54166 | 2013-03-25 |
| 1154574366 | Luke T Johnson | Speech-Language Pathologist | N3684 River Road, Shawano, WI 54166 | 2008-10-31 |
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790945863 | Patricia Rae Ainsworth | Physical Therapist | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-06-12 |
| 1649491820 | Shawano-gresham School District | Local Education Agency (LEA) | 1050 South Union Street, Shawano, WI 54166 | 2007-05-02 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1740343086 | John Milton Dovorany | Dentist | 1488 E Green Bay St, Shawano, WI 54166 | 2006-12-18 |
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| Find all providers in zip 54166 | ||||
| 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 |
|---|---|---|---|---|
| 1326227802 | Torri Jean Gillis | Social Worker | 504 Lakeland Road, Shawano, WI 54166-6832 | 2007-10-31 |
| 1386837573 | John A. Mueller | Social Worker | 324 S Andrews St, Shawano, WI 54166-2406 | 2007-08-22 |
| 1821136540 | Robin C Raber Bergeon | Social Worker | 420 E Green Bay St Ste 107, Shawano, WI 54166-2500 | 2007-02-02 |
| 1225017064 | Laurie Ann Roberts | Social Worker | 310 S Bartlett St, Shawano, WI 54166-2704 | 2006-01-11 |
| 1083140057 | Be Well Counseling LLC | Social Worker | 420 E Green Bay St, Suite 107, Shawano, WI 54166-2549 | 2017-05-11 |
| 1447437645 | Rebecca Setterman | Social Worker | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2008-01-30 |
| 1699790865 | David Randall Block | Social Worker | 100 County Road B, Shawano, WI 54166-7072 | 2006-07-12 |
| 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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| 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.