Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWIN BACALSO
Active Sole ProprietorEDWIN BACALSO is a Clinical Social Worker healthcare provider located in THIENSVILLE, Wisconsin. NPI 1023661659 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · THIENSVILLE, WI
Registration Details
- NPI Number
- 1023661659
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 23, 2019 (7.0311720772603 yrs)
- Last Updated
- May 7, 2024
- License
-
131474-121 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13111 N PORT WASHINGTON RDTHIENSVILLE, WI, 530972416Browse WI providers · Browse ZIP 53097
- Phone
- 2622436127
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in THIENSVILLE, WI
| Name | Credential | NPI |
|---|---|---|
| JEANETTE JOSEPH BAAS | LCSW | 1134800170 |
| SAMANTHA CACACE | — | 1275343949 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.