Tyler G Luedke · Clinical Social Worker

3150 Gershwin Dr, Green Bay, WI 54311-4328

Overview

Tyler G Luedke is a Clinical Social Worker practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1821431099, which was assigned on April 8, 2013, and the registration record was last updated on August 13, 2025. The practitioner's main practice location is at 3150 Gershwin Dr, Green Bay, WI 54311-4328; the contact telephone number is 9203914700, and the fax number is 9203914731. The primary taxonomy of Tyler G Luedke is Clinical Social Worker (1041C0700X), with specialization in Clinical. Tyler G Luedke is licensed to practice in the state of Wisconsin (#15877-131), Wisconsin (#131735-121), Wisconsin (#10068-123).

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.

Provider Information

NPI 1821431099
Entity Type Individual
Provider Name TYLER G LUEDKE
Gender Male
Credential LCSW, CSAC
Practice Address 3150 Gershwin Dr
Green Bay
WI 54311-4328
Practice Telephone 9203914700
Practice Fax Number 9203914731
Mailing Address 3150 Gershwin Dr
Green Bay
WI 54311-4328
Mailing Telephone 9203914700
Mailing Fax Number 9203914731
Certification Date 2025-08-13
Enumeration Date 2013-04-08
Last Update Date 2025-08-13
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 7618347212
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name TYLER G LUEDKE
Primary Specialty CLINICAL SOCIAL WORKER
Organization Legal Name COUNTY OF BROWN
Address 3150 Gershwin Dr
Green Bay
WI 54311-4328

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N101YA0400XCounselorAddiction (Substance Use Disorder)15877-131WI
N104100000XSocial Worker131735-121WI
Y1041C0700XSocial WorkerClinical10068-123WI

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
1528098530WIMEDICAID

Taxonomy Information

Primary Taxonomy

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]

Other Taxonomy

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...

Other Taxonomy

Code 104100000X
Taxonomy Social Worker
Classification Social Worker
Grouping Behavioral Health & Social Service Providers
Definition: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

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Location Information

Street Address 3150 GERSHWIN DR
City GREEN BAY
State WI
Zip Code 54311-4328
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
County of Brown 3150 Gershwin Dr, Green Bay, WI 54311-4328Case Management Agency2025-07-15
Yogesh C Pareek 3150 Gershwin Dr, Green Bay, WI 54311-4328Psychiatry Physician2007-04-16
Logan Wilz 3150 Gershwin Dr, Green Bay, WI 54311-4328Clinical Psychologist2023-09-25
Kristin A. Anderson-Cronin 3150 Gershwin Dr, Green Bay, WI 54311-4328Registered Nurse2011-03-28
Koti R Mannem 3150 Gershwin Drive, Green Bay, WI 54311-5859Psychiatry Physician2006-09-22
Nicole Dufek 3150 Gershwin Dr, Green Bay, WI 54311-4328Social Worker2022-09-14
County of Brown 3150 Gershwin Drive, Green Bay, WI 54311-5859Community/Behavioral Health Agency2006-11-06
Lisa J Cavil 3150 Gershwin Dr, Green Bay, WI 54311-4328Professional Counselor2014-08-12
Helga Aquino Meyer · Helga Aquino Perpetuo 3150 Gershwin Dr, Green Bay, WI 54311-4328Clinical Social Worker2023-08-16

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Provider NameAddressTaxonomyEnumeration Date
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Brittany Shoemaker 2633 Development Dr Ste 40, Green Bay, WI 54311-4239Dental Hygienist2025-09-29
Power of Peace Housing and Recovery Service LLC 4414 Nicolet Dr Bay Wi54311, Green Bay, WI 54311-1100Assisted Living Facility (Behavioral Disturbances)2025-03-01
Gabrielle Arline Rutherford 2581 Development Dr, Green Bay, WI 54311-4247Registered Nurse2025-03-10
Taylor Lauren Shefchik · Taylor Smiley 2617 Development Dr, Green Bay, WI 54311-4240Physician Assistant2024-10-02
Amritha Chandrahasa Karkera 2845 Greenbrier Rd, Green Bay, WI 54311Hematology & Oncology Physician2010-07-21
Lori Ann Keisic Hummel · Lori Ann Keisic Grillo 1160 Kepler Dr, Green Bay, WI 54311Physical Therapist2012-04-23
Jennifer M Wachowiak 1496 Bellevue St Ste 502, Green Bay, WI 54311-4251Psychiatric/Mental Health Nurse Practitioner2025-08-25
Grace Philipp 2605 Development Dr, Green Bay, WI 54311-4240Physician Assistant2025-09-03
Sandra Lee Yang 1976 Lime Kiln Rd, Green Bay, WI 54311-4417Family Nurse Practitioner2022-02-06
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Dataset Information

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

Dataset Details

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.