Healthcare Provider Details

I. General information

NPI: 1467048942
Provider Name (Legal Business Name): NEW LEAF PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2020
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 ELM GROVE RD STE 213
ELM GROVE WI
53122-2528
US

IV. Provider business mailing address

2241 N 54TH ST
MILWAUKEE WI
53208-1013
US

V. Phone/Fax

Practice location:
  • Phone: 414-436-1687
  • Fax:
Mailing address:
  • Phone: 574-323-5428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SARAH MCSORLEY
Title or Position: OWNER, CLINICIAN
Credential: LCSW
Phone: 574-323-5428