IndividualActive
Peter Vandusartz, LCSW
NPI 1366214496 · Clinical Social Worker · Hudson, WI
Peter Vandusartz, LCSW is a Clinical Social Worker provider in Hudson, WI (NPI 1366214496).
Provider details
- NPI number
- 1366214496
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 3882-123 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
405 Stageline Rd
Hudson, WI 54016-7848
Phone: (612) 396-6313
Street-level locationGet directions
Mailing address
405 Stageline Rd
Hudson, WI 54016-7848
Registry dates
- Enumerated
- 2023-10-23
- Last updated
- 2023-10-23
- Certified
- 2023-10-23
Frequently asked questions
- What is Peter Vandusartz's NPI number?
- Peter Vandusartz's National Provider Identifier (NPI) is 1366214496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peter Vandusartz's specialty?
- Peter Vandusartz is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Peter Vandusartz located?
- Peter Vandusartz's practice location on file with NPPES is 405 Stageline Rd, Hudson, WI 54016-7848.
- What is Peter Vandusartz's phone number?
- The practice phone number listed in the NPPES registry for Peter Vandusartz is (612) 396-6313.
- Is Peter Vandusartz's NPI active?
- Yes — Peter Vandusartz's NPI (1366214496) is active in the NPPES registry as of the last update on 2023-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.