COMMUNITY MEMORIAL HOSPITAL SOCIAL SERVICES
NPI 1629302831
Social Worker - Clinical in Oconto Falls, WI

Active since September 22, 2009
855 S MAIN ST, OCONTO FALLS, WI 54154(920) 846-3444(920) 846-0250 Get Directions Write a Review

NPPES record last updated: February 25, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Community Memorial Hospital Social Services NPPES

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

COMMUNITY MEMORIAL HOSPITAL SOCIAL SERVICES (NPI 1629302831) is a healthcare organization registered as a clinical in Oconto Falls, Wisconsin and active in the NPI registry since September 2009. The organization lists Jim L Van Dornick, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629302831
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOMMUNITY MEMORIAL HOSPITAL
Location Address855 S MAIN STOconto Falls, WI 54154-1241
Mailing Address855 S Main StOconto Falls, WI 54154-1241 · (920) 846-3444 · Fax (920) 846-0250
Fax(920) 846-0250
Organization SubpartYes
Authorized OfficialJim L Van DornickCeo · (920) 846-3444
Enumeration DateSeptember 22, 2009
Last NPPES UpdateFebruary 25, 2011
NPI 1629302831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in WI · 7421-123 Licensed in WI · 6699-123
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.
855 S MAIN ST, Oconto Falls, WI 54154

Other Names 1

Doing Business AsCommunity Memorial Hospital Social Services

Other Identifiers 8

Other1922270693WI · Fletcher Npi
Other1326349135WI · Cmh Sb Npi
Medicare OSCAR/certification521310WI
Other1346393287WI · Winius Npi
Other1851477913WI · Cmh Npi
Medicaid11014110WI
Medicare OSCAR/certification52Z310WI
Medicare PIN00439WI

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.

Nurse Practitioner
855 S MAIN ST
OCONTO FALLS, WI 54154
Pharmacy (Institutional Pharmacy)
855 S MAIN ST
OCONTO FALLS, WI 54154
Respiratory Therapist, Certified
855 S MAIN ST
OCONTO FALLS, WI 54154
Radiology (Diagnostic Radiology)
855 S MAIN ST
OCONTO FALLS, WI 54154
Physical Therapist
855 S MAIN ST
OCONTO FALLS, WI 54154
Physical Therapy Assistant
855 S MAIN ST
OCONTO FALLS, WI 54154
Radiology (Diagnostic Radiology)
855 S MAIN ST
OCONTO FALLS, WI 54154
Anesthesiology
855 S MAIN ST
OCONTO FALLS, WI 54154

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 Community Memorial Hospital's NPI number?

The NPI number for Community Memorial Hospital is 1629302831. It was assigned to this organization in the NPPES registry on September 22, 2009. The provider is doing business as Community Memorial Hospital Social Services.

Where is Community Memorial Hospital located?

Community Memorial Hospital is located at 855 S Main St, Oconto Falls, WI 54154. The listed phone number is (920) 846-3444.

What is Community Memorial Hospital'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 Community Memorial Hospital was last updated on February 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.