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MS. ANDREA L. GUSTAFSON L.C.S.W., L.M.T.
NPI 1346451523
Social Worker - Clinical in Eau Claire, WI

Active since May 27, 2007Opted out of Medicare · through May 20, 2028
1808 FOLSOM ST, EAU CLAIRE, WI 54703(715) 404-9031 Get Directions Write a Review

NPPES record last updated: November 10, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Andrea L. Gustafson L.c.s.w., L.m.t. NPPES

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

MS. ANDREA L. GUSTAFSON L.C.S.W., L.M.T. (NPI 1346451523) is an individual clinical provider in Eau Claire, Wisconsin, licensed in Wisconsin (7649-123) and active in the NPI registry since May 2007. She has opted out of Medicare through May 20, 2028.

NPPES Registry Identity

NPI1346451523
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. ANDREA L. GUSTAFSONCredential: L.C.S.W., L.M.T.
Location Address1808 FOLSOM STEau Claire, WI 54703-2579
Mailing Address1010 Pumphouse Rd, Unit CChippewa Falls, WI 54729-4041 · (715) 861-3108
Phone(715) 404-9031
Sole ProprietorYes
Enumeration DateMay 27, 2007
Last NPPES UpdateNovember 10, 2010
✔ NPI 1346451523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 7649-123
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.
Also ListedMassage TherapistTaxonomy 225700000X · License 4982-146 (WI)
1808 FOLSOM ST, Eau Claire, WI 54703
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Andrea L. Gustafson L.c.s.w., L.m.t. 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 May 20, 2024 through May 20, 2028.

Opt-Out Effective DateMay 20, 2024
Opt-Out In Effect ThroughMay 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Gustafson's NPI number?

The NPI number for Andrea Gustafson is 1346451523. It was assigned to this individual provider in the NPPES registry on May 27, 2007.

Where is Andrea Gustafson located?

Andrea Gustafson practices at 1808 Folsom St, Eau Claire, WI 54703. The listed phone number is (715) 404-9031.

What is Andrea Gustafson's specialty?

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

Is Andrea Gustafson enrolled in Medicare?

No. Andrea Gustafson has opted out of Medicare through May 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Andrea Gustafson was last updated on November 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.