Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominic Lerose, APSW

Individual provider Clinical Social Worker · NPI 1780500694

Dominic Lerose, APSW is a Clinical Social Worker in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026

Practice location Address checks out

3101 Latham Dr
Madison, WI 53713-4613
Phone: (608) 286-1132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 136132121 (WI)

Record details

NPI number1780500694
Entity typeIndividual (Type 1)
GenderMale
Credentials APSW
Sole proprietorNo
NPI enumeratedJune 25, 2026
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026
Mailing address2 W Gorham St Apt G1, Madison, WI 53703-2087

Other providers in Madison