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 is a Clinical Social Worker 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

Other providers in Oconomowoc