Kenneth Ahlberg, MSW
Individual provider Active NPI Clinical Social Worker · Cumberland, WI
NPI 1720101470 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720101470
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 719123 (WI)
- Practice address
- 1110 7TH Ave
Cumberland, WI 54829-9138 - Phone
- (715) 822-2741
- Fax
- (715) 822-6103
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 719123 | WI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 719123 | WI | Yes |
Addresses
Primary practice location
1110 7TH Ave
Cumberland, WI 54829-9138
Mailing address
1110 7TH Ave
Cumberland, WI 54829-9138
Phone (715) 822-2741
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39772200 | Medicaid | WI |
Other providers in Cumberland, WI
- Karl J Ader
- Advantage Plus Counseling LLC
- Aria Health, Inc.
- Aria Health, Inc.
- Kimberly Marie Aucoin
- Mary L Babka-Goldsmith
- Patricia Barry
All providers in Cumberland, 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 Jul 8, 2007. 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.