Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ganesha Institute of Neurology and Psychiatry SC

Organization Clinical Social Worker · NPI 1619731320

Ganesha Institute of Neurology and Psychiatry SC provides Clinical Social Worker services in Kenosha, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
6

Practice location Address checks out

4600 Green Bay Rd
Kenosha, WI 53144-1719
Phone: (262) 286-1860
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X
Clinical Social Worker Taxonomy 1041C0700X
Psychiatry Physician Taxonomy 2084P0800X
Vascular Neurology Physician Taxonomy 2084V0102X
Physician Assistant Taxonomy 363A00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1619731320
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGanesha Institute of Neurology and Psychiatry SC
Authorized official Lori Smith — Office Manager · (847) 816-6441
NPI enumeratedFebruary 13, 2024
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025
Mailing addressPo Box 14545, Belfast, ME 04915-4038

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