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

Individual provider Clinical Social Worker · NPI 1679844898

Benjamin Peerbolt, LCSW is a Clinical Social Worker in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5420 W State St
Milwaukee, WI 53208-2514
Phone: (414) 509-7060
Fax: (414) 509-7388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8305 (WI)

Record details

NPI number1679844898
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 19, 2012
Last updated in NPPESAugust 31, 2016

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