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General NPI Number Information
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NPI Number | 1467048942
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Entity Type | Organization
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Legal Business Name | NEW LEAF PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 890 ELM GROVE RD STE 213
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City | ELM GROVE
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State | WI
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Zip | 53122-2528
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Country | US
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Telephone | 414-436-1687
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Fax |
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Provider Business Mailing Address
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Address Line | 2241 N 54TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53208-1013
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Country | US
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Telephone | 574-323-5428
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Fax |
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Authorized Official
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Title or Position | OWNER, CLINICIAN
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Name | SARAH MCSORLEY
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Credential | LCSW
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Telephone | 574-323-5428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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