Step 3 Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1536-123 Issued in WI

Legal business name

STEP 3 COUNSELING LLC

Practice address

117 W South St
Oconomowoc, WI 53066-5210

Phone

(262) 567-5180

NPI assigned

Apr 22, 2007

Organization subpart

No

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

Authorized official

Name

Kim M Jaeger, LCSW CADC

Title

Owner

Phone

(262) 567-5180

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1386862811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530660026",
            "telephone_number": "262-567-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W SOUTH ST",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530665210",
            "telephone_number": "262-567-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP 3 COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-567-5180",
        "authorized_official_credential": "LCSW CADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1536-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Oconomowoc, WI
• Providers in Oconomowoc, 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 Sep 21, 2007; 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.