SOUTHIDA XAYACHACK
NPI 1487107215
Social Worker - Clinical in Brown Deer, WI

Active since July 28, 2016
3900 W BROWN DEER RD, SUITE 200, BROWN DEER, WI 53209(414) 540-2170(414) 540-2171 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southida Xayachack NPPES

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

SOUTHIDA XAYACHACK (NPI 1487107215) is an individual clinical provider in Brown Deer, Wisconsin, licensed in Wisconsin (130138) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1487107215
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSOUTHIDA XAYACHACK
Location Address3900 W BROWN DEER RD, SUITE 200Brown Deer, WI 53209-1220
Mailing Address3900 W Brown Deer Rd, Suite 200Brown Deer, WI 53209-1220 · (414) 540-2170 · Fax (414) 540-2171
Fax(414) 540-2171
Sole ProprietorNo
Enumeration DateJuly 28, 2016
NPI 1487107215 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 · 130138
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.
3900 W BROWN DEER RD, Brown Deer, WI 53209

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.

Social Worker (Clinical)
3900 W BROWN DEER RD
BROWN DEER, WI 53209
Counselor (Professional)
3900 W BROWN DEER RD, SUITE 200
BROWN DEER, WI 53209
Counselor (Professional)
3900 W BROWN DEER RD, SUITE 200
BROWN DEER, WI 53209
Counselor
3900 W BROWN DEER RD, SUITE 200
BROWN DEER, WI 53209
Counselor
3900 W BROWN DEER RD, SUITE 200
BROWN DEER, WI 53209
Counselor (Addiction (Substance Use Disorder))
3900 W BROWN DEER RD, SUITE 200
BROWN DEER, WI 53209
Counselor
3900 W BROWN DEER RD, SUITE 200
BROWN DEER, WI 53209
Art Therapist
3900 W BROWN DEER RD, SUITE 200
BROWN DEER, WI 53209

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 Southida Xayachack's NPI number?

The NPI number for Southida Xayachack is 1487107215. It was assigned to this individual provider in the NPPES registry on July 28, 2016.

Where is Southida Xayachack located?

Southida Xayachack practices at 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209. The listed phone number is (414) 540-2170.

What is Southida Xayachack'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 Southida Xayachack was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.