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Deactivated NPI 1053973909 Deactivated / Inactive NPI Female Practitioner

Breana Pickard , APSW, SAC-IT

Social Worker - Clinical • Gresham, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Breana Pickard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 01, 2019
NPI Deactivation Date June 26, 2024
Total Practice Duration ~5 Years of Practice (2019 – 2024)

Professional Overview & Biography Verified Profile Summary

Breana Pickard, APSW, SAC-IT was a registered Social Worker - Clinical practicing in Gresham, WI. Throughout an active medical career spanning 5 years, Breana Pickard provided care at the practice location at N2150 KESAEHKAHTEK RD until profile deactivation on 2024-06-26.

Practice Location & Contact Primary Location

Practice Address

N2150 Kesaehkahtek Rd

Gresham, WI 541289602

Telephone 7157993538
Fax 7157995056
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Gresham, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Gresham, WI (4282 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License WI 131434-121

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Ronaele Clasen , SAC-IT

Counselor - Addiction (Substance Use Disorder)

NPI 1497462360

SACIT

Drew Lacefield , MS, LPC-IT SAC-IT

Counselor - Addiction (Substance Use Disorder)

NPI 1578079687

Master of Science, LPCITSACIT

Dr. Maureen White , PhD

Psychologist - Counseling

NPI 1679988083

Doctor of Philosophy (Ph.D.)

Jennifer Lidbury

Registered Nurse

NPI 1861853566
Teresa Juga , CAPSW, MSW

Counselor - Addiction (Substance Use Disorder)

NPI 1902581242

CAPSW, Master of Social Work

Brandon Waupekenay , -226 LPC

Counselor - Professional

NPI 1942708789

226LPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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NPI Profile Deactivated June 26, 2024

Record deactivated on June 26, 2024

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Updated Practice Location September 11, 2020

Registered at 123 N OAKLAND AVE, GREEN BAY, WI 543032831 (Tel: 9207704088)

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Updated Business Mailing Address September 11, 2020

Registered at 123 N OAKLAND AVE, GREEN BAY, WI 543032831 (Tel: 9207704088)

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2020

Counselor (License #18883-130 in WI)

NPI Profile Active July 01, 2019

NPI status registered as active in NPPES database

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Updated Practice Location July 01, 2019

Registered at N2150 KESAEHKAHTEK RD, GRESHAM, WI 541289602 (Tel: 7157993538)

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Updated Business Mailing Address July 01, 2019

Registered at N2150 KESAEHKAHTEK RD, GRESHAM, WI 541289602 (Tel: 7157993538)

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Provider Name / Credentials Updated July 01, 2019

Recorded as BREANA PICKARD, APSW, SAC-IT

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2019

Social Worker (License #131434-121 in WI)

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Initial NPI Registration & Enumeration July 01, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053973909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2019
Last Update: July 01, 2019
Deactivation Date: June 26, 2024

Mailing Address

N2150 Kesaehkahtek Rd

Gresham, WI 541289602

Phone: 7157993538

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.