Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VICTORIA ROSE BUCHHEIM-DIETZ LCSW
NPI 1003658485
Social Worker - Clinical in Madison, WI

Q: What is Victoria Buchheim-dietz's NPI number?

The NPI number for Victoria Buchheim-dietz is 1003658485. It was assigned to this individual provider in the NPPES registry on June 7, 2024.

Q: What is Victoria Buchheim-dietz's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Victoria Buchheim-dietz enrolled in Medicare?

No. Victoria Buchheim-dietz has opted out of Medicare through June 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since June 07, 2024Opted out of Medicare · through Jun 1, 2028

621 N SHERMAN AVE STE B7, MADISON, WI 53704(608) 389-0148(608) 389-0158 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2026, Jan 29, 2026, Jun 7, 2024 (3 updates tracked since 2024).

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About Victoria Rose Buchheim-dietz Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORIA ROSE BUCHHEIM-DIETZ LCSW (NPI 1003658485) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (13031-123) and active in the NPI registry since June 2024. She has opted out of Medicare through June 1, 2028.

NPPES Registry Identity

NPI1003658485

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameVICTORIA ROSE BUCHHEIM-DIETZCredential: LCSW

Location Address621 N SHERMAN AVE STE B7Madison, WI 53704-4452

Mailing Address621 N Sherman Ave Ste B7Madison, WI 53704-4452 · (608) 389-0148 · Fax (608) 389-0158

Phone(608) 389-0148

Fax(608) 389-0158

Sole ProprietorNo

Enumeration DateJune 7, 2024

Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1003658485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WI · 13031-123

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

621 N SHERMAN AVE STE B7, Madison, WI 53704

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Victoria Rose Buchheim-dietz Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 1, 2026 through June 1, 2028.

Opt-Out Effective DateJune 1, 2026

Opt-Out In Effect ThroughJune 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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