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: July 19, 2026.

  • Organization
  • Social Worker
  • Clinical

About COMMUNITY MEMORIAL HOSPITAL SOCIAL SERVICES

This page provides the complete NPI Profile along with additional information for Community Memorial Hospital Social Services, a provider established in Oconto Falls, Wisconsin operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1629302831 assigned on September 2009. The practitioner's primary taxonomy code is 1041C0700X with license number 7421-123 (WI). The provider is registered as an organization and their NPI record was last updated 15 years ago. Community Memorial Hospital Social Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Community Memorial Hospital Social Services. The authorized official of this NPI record is Jim L Van Dornick (Ceo)

NPI
1629302831 Verify this NPI
Provider Legal Name
COMMUNITY MEMORIAL HOSPITAL
Other Organization Name
COMMUNITY MEMORIAL HOSPITAL SOCIAL SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
855 S MAIN ST OCONTO FALLS, WI 54154
Location Phone
(920) 846-3444
Location Fax
(920) 846-0250
Mailing Address
855 S MAIN ST OCONTO FALLS, WI 54154
Mailing Phone
(920) 846-3444
Mailing Fax
(920) 846-0250
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-22-2009
Last Update Date
02-25-2011
Code Navigator

A clinical social worker like Community Memorial Hospital Social Services is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
7421-123
License State
WI
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

6699-123 (WI)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JIM L VAN DORNICK

Authorized Official Title
CEO
Authorized Official Phone
(920) 846-3444

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1922270693OTHER (01)WIFLETCHER NPI
1326349135OTHER (01)WICMH SB NPI
521310MEDICARE OSCAR/CERTIFICATION (06)WI 
1346393287OTHER (01)WIWINIUS NPI
1851477913OTHER (01)WICMH NPI
11014110MEDICAID (05)WI 
52Z310MEDICARE OSCAR/CERTIFICATION (06)WI 
00439MEDICARE PIN (08)WI 

Reviews for COMMUNITY MEMORIAL HOSPITAL SOCIAL SERVICES

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
855 S MAIN ST
OCONTO FALLS, WI 54154
Emergency Medicine
855 S MAIN ST
OCONTO FALLS, WI 54154
Anesthesiology
855 S MAIN ST
OCONTO FALLS, WI 54154
Radiology (Diagnostic Radiology)
855 S MAIN ST
OCONTO FALLS, WI 54154
Emergency Medicine
855 S MAIN ST
OCONTO FALLS, WI 54154
Radiology (Diagnostic Radiology)
855 S MAIN ST
OCONTO FALLS, WI 54154
Emergency Medicine
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
Occupational Therapist
855 S MAIN ST
OCONTO FALLS, WI 54154
Physical Therapist
855 S MAIN ST
OCONTO FALLS, WI 54154
Respiratory Therapist, Certified
855 S MAIN ST
OCONTO FALLS, WI 54154
Respiratory Therapist, Certified
855 S MAIN ST
OCONTO FALLS, WI 54154
Respiratory Therapist, Certified
855 S MAIN ST
OCONTO FALLS, WI 54154
Physical Therapy Assistant
855 S MAIN ST
OCONTO FALLS, WI 54154
Physical Therapy Assistant
855 S MAIN ST
OCONTO FALLS, WI 54154
Dietitian, Registered
855 S MAIN ST
OCONTO FALLS, WI 54154
Physical Therapy Assistant
855 S MAIN ST
OCONTO FALLS, WI 54154
Occupational Therapist
855 S MAIN ST
OCONTO FALLS, WI 54154
Physical Therapist
855 S MAIN ST
OCONTO FALLS, WI 54154

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629302831, enumerated as an "organization" on September 22, 2009.

The provider is located at 855 S MAIN ST OCONTO FALLS, WI 54154 and the phone number is (920) 846-3444.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.