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

Michael Derose, LCSW

Individual provider Clinical Social Worker · NPI 1295101574

Michael Derose, LCSW is a Clinical Social Worker in Mount Pleasant, Wisconsin. Qualified in 2010, 16 years ago. Practices with Ascension Medical Group-Southeast Wisconsin Inc, a 555-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
16
Licensed in
WI
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3805B Spring St Ste 320
Mount Pleasant, WI 53405-1641
Phone: (262) 687-2222
Fax: (262) 687-8611
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8319 (WI)

Record details

NPI number1295101574
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 20, 2015
Last updated in NPPESFebruary 11, 2019
Mailing address3805b Spring St Ste 320, Mount Pleasant, WI 53405-1644

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ascension Medical Group-Southeast Wisconsin Inc — 555 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mount Pleasant