EDWIN BACALSO
NPI 1023661659
Social Worker - Clinical in Thiensville, WI

Active since July 23, 2019
13111 N PORT WASHINGTON RD, THIENSVILLE, WI 53097(262) 243-6127 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 7, 2024, Mar 3, 2022, Jul 23, 2019 (3 updates tracked since 2019).

About Edwin Bacalso NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWIN BACALSO (NPI 1023661659) is an individual clinical provider in Thiensville, Wisconsin, licensed in Wisconsin (131474-121) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1023661659
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameEDWIN BACALSO
Location Address13111 N PORT WASHINGTON RDThiensville, WI 53097-2416
Mailing Address5215 N Ironwood Rd, Suite 202 Pmb 1013Glendale, WI 53217-2416 · (414) 367-4447
Sole ProprietorYes
Enumeration DateJuly 23, 2019
Last NPPES UpdateMay 7, 20243 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
NPI 1023661659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 131474-121
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.
13111 N PORT WASHINGTON RD, Thiensville, WI 53097

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Internal Medicine (Cardiovascular Disease)
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Speech-Language Pathologist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Pharmacist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Physical Therapy Assistant
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Nurse Anesthetist, Certified Registered
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Emergency Medicine
13111 N PORT WASHINGTON RD, COLUMBIA ST. MARY'S - OZAUKEE CAMPUS
MEQUON, WI 53097
Dietitian, Registered
13111 N PORT WASHINGTON RD
MEQUON, WI 53097

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Bacalso's NPI number?

The NPI number for Edwin Bacalso is 1023661659. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Where is Edwin Bacalso located?

Edwin Bacalso practices at 13111 N Port Washington Rd, Thiensville, WI 53097. The listed phone number is (262) 243-6127.

What is Edwin Bacalso's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Edwin Bacalso accept?

Health plans from Providence Health Plan list Edwin Bacalso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edwin Bacalso was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.