# COUNTY OF WALWORTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COUNTY OF WALWORTH
- **Other names:** Walworth County Department of Health and Human Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265944573
- **Legal business name:** COUNTY OF WALWORTH
- **Authorized official:** MR. CARLO JON NEVICOSI MSW, LCSW (DIRECTOR)
- **Authorized official phone:** (262) 741-3200

## Contact information

- **Practice address:** 1910 COUNTY ROAD NN, ELKHORN, WI 53121-4454
- **Practice address phone:** (262) 741-3200
- **Practice address fax:** (262) 741-3217
- **Mailing address:** PO BOX 1005, ELKHORN, WI 53121-1005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP0905X | State or Local Public Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/26/2017
- **Last updated:** 08/28/2023