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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IVAYLO HRISTOV, LCSW

Active Sole Proprietor

IVAYLO HRISTOV, LCSW is a Clinical Social Worker healthcare provider located in SHOREWOOD, Wisconsin. NPI 1255405320 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SHOREWOOD, WI

Registration Details

NPI Number
1255405320
Provider Type
Individual
Gender
Male
NPI Issued
Nov 20, 2006 (19.693125318632 yrs)
Last Updated
Jan 31, 2019
Licenses
ASW 17168 (CA)
7835-123 (WI)
LCSW27688 (CA)
Sole Proprietor
Yes

Practice Information

Address
4465 N OAKLAND AVE UNIT 310
SHOREWOOD, WI, 532111662
Browse WI providers · Browse ZIP 53211
Phone
5305746855
Fax
4147557772
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in SHOREWOOD, WI

Name Credential NPI
ROSELIE Y RENTZ MSW, LCSW 1588688634
LOUANN MUELLER MSW 1730281999
MS. SUSAN WASSERMAN MSW 1871652230
MRS. NANCY LEE HORNBY MSW, CICSW 1053471235
VIRGINIA D. STOCKER VIRGINIA STOCKER 1164583068
MS. SANDRA P BLAIES LCSW 1427188002
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.