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

Ivy Ellen Jean Phelps, LCSW, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720509292

Ivy Ellen Jean Phelps, LCSW, CSAC is a Clinical Social Worker in West Allis, Wisconsin. Qualified in 2008, 18 years ago. Practices with Richard Kneip PHD PC, a 243-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
18
Licensed in
WI
In the registry since
2017
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

2814 S 108th St
West Allis, WI 53227-3224
Phone: (414) 885-3525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1610 Miller Park Way, West Milwaukee, WI 53214-3604 — (414) 672-3801

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 15687-132 (WI)

Record details

NPI number1720509292
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CSAC
Sole proprietorNo
NPI enumeratedJuly 5, 2017
Last updated in NPPESJuly 21, 2022
Certification dateApril 8, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Richard Kneip Phd Pc — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Allis