Individual
GLENN ZIPPERER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW CADC III
Contact information
Practice address
121 W MAIN ST, STE 350, PORT WASHINGTON, WI 53074-1813
(262) 284-8130
(262) 284-8130
Mailing address
PO BOX 994, STE 350, PORT WASHINGTON, WI 53074-0994
(262) 284-8130
(262) 284-8104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1105
WI
1041C0700X
Clinical Social Worker
2320123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39333800
—
WI
Enumeration date
10/31/2005
Last updated
09/11/2025
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