Provider Demographics
NPI:1043625908
Name:KAIN, CLARE (LPC, SAC-IT)
Entity type:Individual
Prefix:
First Name:CLARE
Middle Name:
Last Name:KAIN
Suffix:
Gender:F
Credentials:LPC, SAC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 S 6TH ST
Mailing Address - Street 2:UNITED COMMUNITY CENTER, HSD
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-2301
Mailing Address - Country:US
Mailing Address - Phone:414-643-8530
Mailing Address - Fax:414-647-8602
Practice Address - Street 1:827 CAUSEWAY BLVD
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:LA
Practice Address - Zip Code:70121-2738
Practice Address - Country:US
Practice Address - Phone:504-298-1678
Practice Address - Fax:504-298-1598
Is Sole Proprietor?:No
Enumeration Date:2014-06-30
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17093-130101YA0400X
WIATR101YM0800X
WI5744101YP2500X
TX76056101YP2500X
LA7856101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health