Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Embrace Life Trauma Institute

Organization Clinical Social Worker · NPI 1609709435

Embrace Life Trauma Institute provides Clinical Social Worker services in Oconomowoc, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

105 E Wisconsin Ave Ste 204A
Oconomowoc, WI 53066-3058
Phone: (262) 341-9533
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1609709435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Rezarch — Founer Ceo · (920) 253-5523
NPI enumeratedJune 3, 2026
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing addressPo Box 432, Oconomowoc, WI 53066-0432

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