OrganizationActive
Living for Liberation
NPI 1194423830 · Clinical Social Worker · Beaver Dam, WI
Provider details
- NPI number
- 1194423830
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Shannon Westphal, Psychotherapist(262) 226-0391
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Warren St Ste 2
Beaver Dam, WI 53916-3084
Phone: (262) 226-0391
Street-level locationGet directions
Mailing address
Po Box 131
Hustisford, WI 53034-0131
Registry dates
- Enumerated
- 2023-02-22
- Last updated
- 2023-05-12
- Certified
- 2023-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.