PHOENIX VAN LAANEN LCSW
NPI 1609354166
Social Worker - Clinical in Green Bay, WI

Q: What is Phoenix Van Laanen's NPI number?

The NPI number for Phoenix Van Laanen is 1609354166. It was assigned to this individual provider in the NPPES registry on August 6, 2018.

Q: What is Phoenix Van Laanen's specialty?

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

Active since August 06, 2018PECOS EnrolledAccepts Medicare Assignment

300 CROOKS ST, GREEN BAY, WI 54301(920) 436-6800(920) 432-5966 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, Jul 5, 2023, Aug 6, 2018 (3 updates tracked since 2018).

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About Phoenix Van Laanen Lcsw NPPES

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

PHOENIX VAN LAANEN LCSW (NPI 1609354166) is an individual clinical provider in Green Bay, Wisconsin, licensed in Wisconsin (10207) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609354166

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NamePHOENIX VAN LAANENCredential: LCSW

Location Address300 CROOKS STGreen Bay, WI 54301-4527

Mailing Address2252 Eastman AveGreen Bay, WI 54302-4674 · (920) 680-4073

Phone(920) 436-6800

Fax(920) 432-5966

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 6, 2018

Last NPPES UpdateJune 4, 20253 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1609354166 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 · 10207

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 ListedSocial WorkerTaxonomy 104100000X · License 10207 (WI)

300 CROOKS ST, Green Bay, WI 54301

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Other Identifiers 1

Other10207WI · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phoenix Van Laanen Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032563275

PECOS Enrollment IDI20230921003519

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JAYNE E VON DER LINDEN MSW

Social Worker (Clinical)