Cloverleaf Counseling, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

7452-123 Issued in WI

Legal business name

CLOVERLEAF COUNSELING, LLC

Practice address

3019 W Spencer St
#202
Appleton, WI 54914-5945

Phone

(920) 843-0091

Fax

(855) 849-3178

NPI assigned

May 4, 2017

Organization subpart

No

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

Authorized official

Name

Thomas John Zakrzewski, MSW, LCSW

Title

Owner

Phone

(920) 843-0091

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1962938381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 W SPENCER ST",
            "address_2": "#202",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145945",
            "telephone_number": "920-843-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 W SPENCER ST",
            "address_2": "#202",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145945",
            "telephone_number": "920-843-0091",
            "fax_number": "855-849-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVERLEAF COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "ZAKRZEWSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-843-0091",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "7452-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE WISCONSIN",
            "identifier": "7452-123",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S. William Clark, D.D.S.
• Kathleen Anne Clarke
• Kendra Clayton
• Tyler Clearwater, APSW
• Shirley Louise Clemmons, BC-HIS
• CM Romenesko DDS SC
• Cmwl2
• Thomas G Cody
• Michelle A Coenen, RN
• Steven Ronald Coenen, MD

• Clinic/Center in Appleton, WI
• Providers in Appleton, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.