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

Mr. Jerrold Bernard Rousseau, MSSW, LCSW

Individual provider Clinical Social Worker · NPI 1992915177

Mr. Jerrold Bernard Rousseau, MSSW, LCSW is a Clinical Social Worker in Glendale, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

6270 N Port Washington Rd Ste 201
Glendale, WI 53217-4311
Phone: (414) 962-2284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4219-123 (WI)

Record details

NPI number1992915177
Entity typeIndividual (Type 1)
GenderMale
Credentials MSSW , LCSW
Sole proprietorYes
NPI enumeratedMay 23, 2007
Last updated in NPPESJuly 8, 2007

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