Mikhaela Creekmore Llc

Clinical Social Worker · Janesville, WI

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At a glance

4539 Woodgate Dr Ste A8, Janesville, WI 53546-8205

NPPES record updated Jun 14, 2024. Public records can lag behind changes at a practice.

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Practice location

4539 Woodgate Dr Ste A8
Janesville, WI 53546-8205

Professional details: NPI, taxonomy & registry record

NPI1306689617

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Registry details

Primary taxonomy: Clinical Social Worker
Taxonomy code: 1041C0700X
Enumeration date: Jun 14, 2024
Record updated: Jun 14, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4539 Woodgate Dr Ste A8
Janesville, WI 53546-8205

Phone: (608) 201-0591

Mailing address

4754 SUMPTER DR

MILTON, WI 535638417

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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