Living for Liberation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIVING FOR LIBERATION

Practice address

111 Warren St Ste 2
Beaver Dam, WI 53916-3084

Phone

(262) 226-0391

NPI assigned

Feb 22, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Shannon Bernice Westphal, MSW, LCSW

Title

Psychotherapist

Phone

(262) 226-0391

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Vansusteren, MS, LPC-IT

  • Mental Health Counselor
  • Beaver Dam, WI
  • NPI 1063995132
  NPD
• Colleen Lynn Kasten, SACIT

  • Addiction (Substance Use Disorder) Counselor
  • Grafton, WI
  • NPI 1205320462
  NPD (past)
• Michael Owen, LPC

  • Professional Counselor
  • West Bend, WI
  • NPI 1669701561
  NPD (past)
• Tyler W Secor, LPC

  • Professional Counselor
  • Kenosha, WI
  • NPI 1740840420
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1194423830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131",
            "city": "HUSTISFORD",
            "state": "WI",
            "postal_code": "530340131",
            "telephone_number": "262-224-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WARREN ST STE 2",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163084",
            "telephone_number": "262-226-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING FOR LIBERATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "WESTPHAL",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "BERNICE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "262-226-0391",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Patrick Lentscher, DC
• Patrick A Leonberger, D.O.
• Martha Helen Lewke, OTR/L
• Cherie M. Lindberg, LPC
• John A Lindholm, OPM
• Abigael Loehrke
• Samy Louka, M.D.
• Jeffrey Howard Lovell, M.D.
• Richard Lu, APNP
• Sharon Lubkeman

• Clinical Social Worker in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.