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

Mrs. Michelle K Rusboldt, LCSW

Individual provider Clinical Social Worker · NPI 1366817165

Mrs. Michelle K Rusboldt, LCSW is a Clinical Social Worker in Two Rivers, Wisconsin. Qualified in 2008, 18 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
18
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.

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Practice location Address checks out

5300 Memorial Dr
Two Rivers, WI 54241-3923
Phone: (920) 793-7420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2851 University Ave, Green Bay, WI 54311-5855 — (920) 431-2500

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 127961-121 (WI)

Record details

NPI number1366817165
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 4, 2015
Last updated in NPPESDecember 8, 2021
Certification dateDecember 8, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Two Rivers