Patricia Vanpeursem is a Clinical Social Worker practicing in Waukesha, Wisconsin. The National Provider Identifier (NPI) is #1063626646, which was assigned on May 10, 2007, and the registration record was last updated on August 27, 2010. The practitioner's main practice location is at 2422 North Grandview Blvd, Waukesha, WI 53188; the contact telephone number is 2625496600, and the fax number is 2625496698. The primary taxonomy of Patricia Vanpeursem is Clinical Social Worker (1041C0700X), with specialization in Clinical. Patricia Vanpeursem is licensed to practice in the state of Wisconsin (#1445132), Wisconsin (#3294123).
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.
| NPI | 1063626646 |
| Entity Type | Individual |
| Provider Name | PATRICIA VANPEURSEM |
| Gender | Female |
| Credential | LCSW CSAC 1445 132 3 |
| Practice Address |
2422 North Grandview Blvd Waukesha WI 53188 |
| Practice Telephone | 2625496600 |
| Practice Fax Number | 2625496698 |
| Mailing Address |
2422 North Grandview Blvd Waukesha WI 53188 |
| Mailing Telephone | 2625496600 |
| Mailing Fax Number | 2625496698 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2010-08-27 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | 1445132 | WI | |
| Y | 1041C0700X | Social Worker | Clinical | 3294123 | WI |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 40914300 | WI | MEDICAID |
| Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| Classification | Social Worker |
| Specialization | Clinical |
| Grouping | Behavioral Health & Social Service Providers |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: Definition to come... |
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| Street Address |
2422 NORTH GRANDVIEW BLVD |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Michael S Goldstone | 2422 North Grandview Blvd, Waukesha, WI 53188 | Addiction Medicine (Internal Medicine) Physician | 2007-05-10 |
| Dave Lyons | 2422 North Grandview Blvd, Waukesha, WI 53188 | Clinical Social Worker | 2007-05-10 |
| Connie Jane Hanson | 2422 North Grandview Blvd, Waukesha, WI 53188 | Licensed Practical Nurse | 2007-05-10 |
| Kathleen J Maloney | 2422 North Grandview Blvd, Waukesha, WI 53188 | Addiction (Substance Use Disorder) Registered Nurse | 2007-05-10 |
| Wendy M Kohlhaas | 2422 North Grandview Blvd, Waukesha, WI 53188 | Addiction (Substance Use Disorder) Counselor | 2007-05-10 |
| Elizabeth Ann Gilbert | 2422 North Grandview Blvd, Waukesha, WI 53188 | Administrator Registered Nurse | 2007-05-10 |
| Angeline Bradford | 2422 North Grandview Blvd, Waukesha, WI 53188 | Addiction (Substance Use Disorder) Counselor | 2007-05-10 |
| Tamara Lynn Domansky | 2422 North Grandview Blvd, Waukesha, WI 53188 | Addiction (Substance Use Disorder) Registered Nurse | 2007-05-10 |
| Sylvia Summers Sgroi | 2422 North Grandview Blvd, Waukesha, WI 53188 | Licensed Practical Nurse | 2007-05-10 |
| Gretchen E Jrnka | 2422 North Grandview Blvd, Waukesha, WI 53188 | Licensed Practical Nurse | 2007-05-10 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |