Healthcare Provider Details

I. General information

NPI: 1053221473
Provider Name (Legal Business Name): CLARITY CLINICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4077 HUDSON HILL DR
HOBART WI
54155-8983
US

IV. Provider business mailing address

4077 HUDSON HILL DR
HOBART WI
54155-8983
US

V. Phone/Fax

Practice location:
  • Phone: 920-321-4102
  • Fax:
Mailing address:
  • Phone: 920-321-4102
  • 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: LANA CHESLOCK
Title or Position: OWNER/LCSW
Credential: LCSW
Phone: 920-321-4102