Kim M Davis-Rislove, MSSW LCSW
Individual provider Active NPI Clinical Social Worker · Arcadia, WI
NPI 1114969607 · NPPES record last updated May 21, 2019
Key facts
- NPI
- 1114969607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3356 (WI)
- Practice address
- 895 Dettloff Dr
Arcadia, WI 54612-2600 - Phone
- (608) 785-0940
- NPI assigned
- Jun 11, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3356 | WI | Yes |
Addresses
Primary practice location
895 Dettloff Dr
Arcadia, WI 54612-2600
Mailing address
PO Box 1510
Eau Claire, WI 54702-1510
Phone (608) 785-0940
Other practice location 1
464 S Saint Joseph Ave
Arcadia, WI 54612-1401
Phone (608) 323-3341
Other providers in Arcadia, WI
- Sherri L Bohlinger
- Jodi R Breska
- David E Brown
- Janet W Butler
- County of Trempealeau
- Kaitlin S. Earley
- Christopher Ferstenou
- Capri Mara Fillmore
- Holly Marie Glanville
- Mary A. Green
All providers in Arcadia, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.