Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLORIA LYNN FENNELL, LCSW
Active Sole ProprietorGLORIA LYNN FENNELL, LCSW is a Clinical Social Worker healthcare provider located in LA POINTE, Wisconsin. NPI 1356921548 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LA POINTE, WI
Registration Details
- NPI Number
- 1356921548
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 12, 2021 (5.3103670439102 yrs)
- Last Updated
- Apr 12, 2021
- License
-
1203-123 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1099 S SHORE RDLA POINTE, WI, 548504516Browse WI providers · Browse ZIP 54850
- Phone
- 7154569369
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in LA POINTE, WI
| Name | Credential | NPI |
|---|---|---|
| LINDA LEE FULLER | MS | 1205023553 |
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.