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

Mr. William Nicholas Vanderstine, LCSW

Individual provider Clinical Social Worker · NPI 1437454212

Mr. William Nicholas Vanderstine, LCSW is a Clinical Social Worker in Sarasota, Florida. Qualified in 1997, 29 years ago. Practices with William H Pettibon PHD PA, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
29
Licensed in
FL
In the registry since
2011
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

3800 S Tamiami Trl Unit 210
Sarasota, FL 34239-6909
Phone: (941) 525-0157
Fax: (941) 922-7574
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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 SW10094 (FL)

Record details

NPI number1437454212
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 25, 2011
Last updated in NPPESJanuary 25, 2011

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice William H Pettibon Phd Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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