SearchWisconsinClinical Social Worker

Dereck Wolfgram, LCSW

NPI 1174093744 · on the registry since 2018 · sole proprietor

Practice

Address
1230 Corporate Center Dr Ste 100
Oconomowoc, WI 53066
Phone
(262) 999-3495
Clinicians at this address
12

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin