Provider Demographics
NPI:1548840267
Name:WIMMER, JANET ATKINSON (ACSW)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:ATKINSON
Last Name:WIMMER
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8916 BAYVIEW LN
Mailing Address - Street 2:
Mailing Address - City:ARGONNE
Mailing Address - State:WI
Mailing Address - Zip Code:54511-9040
Mailing Address - Country:US
Mailing Address - Phone:929-260-1223
Mailing Address - Fax:
Practice Address - Street 1:705 E TIMBER DR
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-2859
Practice Address - Country:US
Practice Address - Phone:715-365-3950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI126405-1211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical