KENOSHA MENTAL HEALTH WALK-IN CLINIC
NPI 1245017201
Social Worker - Clinical in Kenosha, WI

Q: What is Children's Medical Group, Inc.'s NPI number?

The NPI number for Children's Medical Group, Inc. is 1245017201. It was assigned to this organization in the NPPES registry on September 13, 2023. The provider is doing business as Kenosha Mental Health Walk-In Clinic.

Q: What is Children's Medical Group, Inc.'s specialty?

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

Active since September 13, 2023

6809 122ND AVE, KENOSHA, WI 53142(262) 891-6575(262) 654-5467 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kenosha Mental Health Walk-in Clinic NPPES

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

KENOSHA MENTAL HEALTH WALK-IN CLINIC (NPI 1245017201) is a healthcare organization registered as a clinical in Kenosha, Wisconsin and active in the NPI registry since September 2023. The organization lists Sheila Reuteman, Sr. Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1245017201

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameCHILDREN'S MEDICAL GROUP, INC.

Location Address6809 122ND AVEKenosha, WI 53142-7335

Mailing Address9000 W Wisconsin Ave # Ms 958Milwaukee, WI 53226-4874 · (414) 266-7615 · Fax (414) 266-6238

Phone(262) 891-6575

Fax(262) 654-5467

Organization SubpartNo

Authorized OfficialSheila ReutemanSr. Credentialing Coordinator · (414) 266-7615

Enumeration DateSeptember 13, 2023

NPPES CertifiedSeptember 13, 2023

✔ NPI 1245017201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ 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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

6809 122ND AVE, Kenosha, WI 53142

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Other Names 1

Doing Business AsKenosha Mental Health Walk-in Clinic

Other Identifiers 1

Medicaid1245017201WI

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

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.

ANN MARIE SUNDARESON M.D.

Pediatrics