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

Phoenix Van Laanen, LCSW

Individual provider Social Worker · NPI 1609354166

Phoenix Van Laanen, LCSW is a Clinical Social Worker in Green Bay, Wisconsin. Qualified in 2018, 8 years ago. Practices with Family Services of Northeast Wisconsin Inc, a 10-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2018
Specialties on file
2
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

300 Crooks St
Green Bay, WI 54301-4527
Phone: (920) 436-6800
Fax: (920) 432-5966
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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 10207 (WI)
Social Worker Taxonomy 104100000X · Licence 10207 (WI)

Record details

NPI number1609354166
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 6, 2018
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Family Services Of Northeast Wisconsin Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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