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

Ivaylo Hristov, LCSW

Individual provider Clinical Social Worker · NPI 1255405320

Ivaylo Hristov, LCSW is a Clinical Social Worker in Shorewood, Wisconsin. Qualified in 2004, 22 years ago. Practices with Cornerstone Counseling Services Inc, a 328-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Wisconsin.

Years since qualifying
22
Licensed in
CA, WI
In the registry since
2006
Specialties on file
3
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

4465 N Oakland Ave Unit 310
Shorewood, WI 53211-1662
Phone: (530) 574-6855
Fax: (414) 755-7772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4320 Auburn Blvd Ste 1200, Sacramento, CA 95841-4153 — (916) 418-0828

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7835-123 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence ASW 17168 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW27688 (CA)

Record details

NPI number1255405320
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 20, 2006
Last updated in NPPESJanuary 31, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Cornerstone Counseling Services Inc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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