Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Paula Patricia Daine-De Broux, MA, LICSW, LCSW

Individual provider Clinical Social Worker · NPI 1588007512

Paula Patricia Daine-De Broux, MA, LICSW, LCSW is a Clinical Social Worker in Hudson, Wisconsin. Licensed in Minnesota and Wisconsin. Registered with an NPI since 2013.

Licensed in
MN, WI
In the registry since
2013
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
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

2501 Hanley Rd Ste 101
Hudson, WI 54016-8786
Phone: (715) 954-5300
Fax: (715) 954-5301
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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 9290-123 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 8662 (MN)

Record details

NPI number1588007512
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LICSW , LCSW
Sole proprietorNo
NPI enumeratedApril 9, 2013
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025

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