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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EMBRACE LIFE TRAUMA INSTITUTE
NPI 1609709435
Social Worker - Clinical in Oconomowoc, WI

Active since June 03, 2026
105 E WISCONSIN AVE STE 204A, OCONOMOWOC, WI 53066(262) 341-9533 Get Directions Write a Review

NPPES record added: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Embrace Life Trauma Institute NPPES

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

EMBRACE LIFE TRAUMA INSTITUTE (NPI 1609709435) is a healthcare organization registered as a clinical in Oconomowoc, Wisconsin and active in the NPI registry since June 2026. The organization lists Kimberly Nicole Rezarch, Founer Ceo, as its authorized official.

NPPES Registry Identity

NPI1609709435
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEMBRACE LIFE TRAUMA INSTITUTE
Location Address105 E WISCONSIN AVE STE 204AOconomowoc, WI 53066-3058
Mailing AddressPo Box 432Oconomowoc, WI 53066-0432 · (262) 341-9533
Phone(262) 341-9533
Organization SubpartNo
Authorized OfficialKimberly Nicole RezarchFouner Ceo · (920) 253-5523
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1609709435 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.
105 E WISCONSIN AVE STE 204A, Oconomowoc, WI 53066
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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

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

KIMBERLY NICOLE REZARCH LCSW
Social Worker (Clinical)
105 E WISCONSIN AVE STE 204A
OCONOMOWOC, WI 53066
Waukesha County (920) 253-5523

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 Embrace Life Trauma Institute's NPI number?

The NPI number for Embrace Life Trauma Institute is 1609709435. It was assigned to this organization in the NPPES registry on June 3, 2026.

Where is Embrace Life Trauma Institute located?

Embrace Life Trauma Institute is located at 105 E Wisconsin Ave Ste 204A, Oconomowoc, WI 53066. The listed phone number is (262) 341-9533.

What is Embrace Life Trauma Institute'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 Embrace Life Trauma Institute was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.