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HARBOR SHORE WELLNESS PLLC
NPI 1104520840
Social Worker - Clinical in Kenosha, WI

Active since March 28, 2023
8114 41ST AVE, KENOSHA, WI 53142(262) 358-3592 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Harbor Shore Wellness Pllc NPPES

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

HARBOR SHORE WELLNESS PLLC (NPI 1104520840), doing business as Harbor Shore Wellness, is a healthcare organization registered as a clinical in Kenosha, Wisconsin and active in the NPI registry since March 2023. The organization lists John Rocha, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1104520840
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameHARBOR SHORE WELLNESS PLLC
Location Address8114 41ST AVEKenosha, WI 53142
Mailing Address8114 41st AveKenosha, WI 53142-4544 · (262) 358-3592
Phone(262) 358-3592
Organization SubpartNo
Authorized OfficialJohn RochaPsychotherapist · (262) 358-3592
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 8, 2023
✔ NPI 1104520840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
8114 41ST AVE, Kenosha, WI 53142
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Other Names 1

Doing Business AsHarbor Shore Wellness

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Harbor Shore Wellness PLLC's NPI number?

The NPI number for Harbor Shore Wellness PLLC is 1104520840. It was assigned to this organization in the NPPES registry on March 28, 2023. The provider is doing business as Harbor Shore Wellness.

Where is Harbor Shore Wellness PLLC located?

Harbor Shore Wellness PLLC is located at 8114 41st Ave, Kenosha, WI 53142. The listed phone number is (262) 358-3592.

What is Harbor Shore Wellness PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Harbor Shore Wellness PLLC was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.