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LIVING FOR LIBERATION
NPI 1194423830
Social Worker - Clinical in Beaver Dam, WI

Active since February 22, 2023
111 WARREN ST STE 2, BEAVER DAM, WI 53916(262) 226-0391 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2023, Feb 22, 2023 (2 updates tracked since 2023).

About Living For Liberation NPPES

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

LIVING FOR LIBERATION (NPI 1194423830) is a healthcare organization registered as a clinical in Beaver Dam, Wisconsin and active in the NPI registry since February 2023. The organization lists Shannon Bernice Westphal, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1194423830
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIVING FOR LIBERATION
Location Address111 WARREN ST STE 2Beaver Dam, WI 53916-3084
Mailing AddressPo Box 131Hustisford, WI 53034-0131 · (262) 224-7721
Phone(262) 226-0391
Organization SubpartNo
Authorized OfficialShannon Bernice WestphalPsychotherapist · (262) 226-0391
Enumeration DateFebruary 22, 2023
Last NPPES UpdateMay 12, 20232 updates tracked since enumeration
NPPES CertifiedMay 12, 2023
✔ NPI 1194423830 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.
111 WARREN ST STE 2, Beaver Dam, WI 53916
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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

Other Providers at the Same Location NPPES 4

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

WILLIAM VANSUSTEREN MS, LPC-IT
Counselor (Mental Health)
111 WARREN ST STE 2
BEAVER DAM, WI 53916
Dodge County (920) 219-4440
MR. J SCOTT RHULE MA, LCSW, CSAC, ICS
Social Worker
111 WARREN ST STE 2
BEAVER DAM, WI 53916
Dodge County (920) 219-4440
MARGARET MARIE SCHULTZ MS, NCC
Counselor (Professional)
111 WARREN ST STE 2
BEAVER DAM, WI 53916
Dodge County (920) 219-4440
BAKIR T ABUSHHIWA
Marriage & Family Therapist
111 WARREN ST STE 2
BEAVER DAM, WI 53916
Dodge County (920) 216-4440

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 Living For Liberation's NPI number?

The NPI number for Living For Liberation is 1194423830. It was assigned to this organization in the NPPES registry on February 22, 2023.

Where is Living For Liberation located?

Living For Liberation is located at 111 Warren St Ste 2, Beaver Dam, WI 53916. The listed phone number is (262) 226-0391.

What is Living For Liberation'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 Living For Liberation was last updated on May 12, 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.