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D/B/A GREEN BAY WELLNESS & BEHAVIORAL HEALTH CLINIC
NPI 1871691667
Social Worker - Clinical in Green Bay, WI

Active since September 20, 2006
125 S JEFFERSON ST, SUITE 306, GREEN BAY, WI 54301(920) 437-7878(920) 437-5884 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About D/b/a Green Bay Wellness & Behavioral Health Clinic NPPES

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

D/B/A GREEN BAY WELLNESS & BEHAVIORAL HEALTH CLINIC (NPI 1871691667) is a healthcare organization registered as a clinical in Green Bay, Wisconsin and active in the NPI registry since September 2006. The organization lists Karen Sue Mervilde, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1871691667
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMICHAEL J. MERVILDE,MSW
Location Address125 S JEFFERSON ST, SUITE 306Green Bay, WI 54301-4500
Mailing Address125 S Jefferson St, Suite 306Green Bay, WI 54301-4500 · (920) 437-7878 · Fax (920) 437-5884
Phone(920) 437-7878
Fax(920) 437-5884
Organization SubpartNo
Authorized OfficialKaren Sue MervildeOffice Manager · (920) 437-7878
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 16, 2008
✔ NPI 1871691667 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 · 107-123
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.
125 S JEFFERSON ST, Green Bay, WI 54301
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Other Names 1

Doing Business AsD/b/a Green Bay Wellness & Behavioral Health Clinic

Other Identifiers 2

Medicare UPIN000044209
Medicaid42158800WI

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

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 Michael J. Mervilde,msw's NPI number?

The NPI number for Michael J. Mervilde,msw is 1871691667. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as D/B/A Green Bay Wellness & Behavioral Health Clinic.

Where is Michael J. Mervilde,msw located?

Michael J. Mervilde,msw is located at 125 S Jefferson St Suite 306, Green Bay, WI 54301. The listed phone number is (920) 437-7878.

What is Michael J. Mervilde,msw'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 Michael J. Mervilde,msw was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.