PETER JOSEPH VANDUSARTZ III LCSW
NPI 1366214496
Social Worker - Clinical in Hudson, WI

Active since October 23, 2023
405 STAGELINE RD, HUDSON, WI 54016(612) 396-6313 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Peter Joseph Vandusartz Iii Lcsw NPPES

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

PETER JOSEPH VANDUSARTZ III LCSW (NPI 1366214496) is an individual clinical provider in Hudson, Wisconsin, licensed in Wisconsin (3882-123) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1366214496
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NamePETER JOSEPH VANDUSARTZ IIICredential: LCSW
Location Address405 STAGELINE RDHudson, WI 54016-7848
Mailing Address405 Stageline RdHudson, WI 54016-7848 · (612) 396-6313
Sole ProprietorNo
Enumeration DateOctober 23, 2023
NPPES CertifiedOctober 23, 2023
NPI 1366214496 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 · 3882-123
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.

405 STAGELINE RD, Hudson, WI 54016

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
405 STAGELINE RD
HUDSON, WI 54016
Physical Therapist
405 STAGELINE RD
HUDSON, WI 54016
Surgery (Plastic and Reconstructive Surgery)
405 STAGELINE RD, HUDSON HOSPITAL & CLINICS
HUDSON, WI 54016
Pharmacist
405 STAGELINE RD
HUDSON, WI 54016
Pharmacist
405 STAGELINE RD
HUDSON, WI 54016
Dietitian, Registered
405 STAGELINE RD
HUDSON, WI 54016
Dietitian, Registered
405 STAGELINE RD
HUDSON, WI 54016
Durable Medical Equipment & Medical Supplies
405 STAGELINE RD, STE. 4
HUDSON, WI 54016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366214496, enumerated as an "individual" on October 23, 2023.

The provider is located at 405 STAGELINE RD HUDSON, WI 54016 and the phone number is (612) 396-6313.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica,. Please consult your insurance carrier or call the provider to verify.