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

Individual provider Clinical Social Worker · NPI 1366214496

Peter Joseph Vandusartz III, LCSW is a Clinical Social Worker in Hudson, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
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

405 Stageline Rd
Hudson, WI 54016-7848
Phone: (612) 396-6313
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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 3882-123 (WI)

Record details

NPI number1366214496
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 23, 2023
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023

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