Provider Demographics
NPI:1225282478
Name:ADVANCED WORKFORCE INITIATIVES, INC
Entity Type:Organization
Organization Name:ADVANCED WORKFORCE INITIATIVES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:608-237-6317
Mailing Address - Street 1:5555 ODANA RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-1240
Mailing Address - Country:US
Mailing Address - Phone:608-237-6317
Mailing Address - Fax:
Practice Address - Street 1:5555 ODANA RD
Practice Address - Street 2:SUITE 104
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1240
Practice Address - Country:US
Practice Address - Phone:608-237-6317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4122-125101Y00000X, 101YM0800X, 101YP1600X, 101YP2500X, 103TR0400X
251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitationGroup - Multi-Specialty
No251B00000XAgenciesCase Management