Whalio Doctors

NPI 1003916149

Jill Marie Goldsworthy, LCSW

Practitioner Clinical Social Worker Wauwatosa, WI

Practice location

Address
10045 W Lisbon Ave Suite 221, Wauwatosa, WI 53222-2446
Phone
(414) 358-7146
Mailing address
8008 Gina Dr, Racine, WI 53406-2510

Registered specialties (3)

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 7336-123 (WI)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 18024 (MN)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 2005041020 (MO)

Registry record

NPI
1003916149
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Sep 2006
Record last updated
8 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.