Victoria Rose Buchheim-Dietz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13031-123 Issued in WI

Practice address

621 N Sherman Ave Ste B7
Madison, WI 53704-4452

Phone

(608) 389-0148

Fax

(608) 389-0158

NPI assigned

Jun 7, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 1, 2026 through Jun 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lavender & Ivy Wellness LLC

  • Clinical Social Worker
  • Madison, WI
  • NPI 1225929896
  NPD (past) Authorized official
• Love Psychotherapy, LLC

  • Marriage & Family Therapist
  • Chicago, IL
  • NPI 1821701731
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1003658485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N SHERMAN AVE STE B7",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044452",
            "telephone_number": "608-389-0148",
            "fax_number": "608-389-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N SHERMAN AVE STE B7",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044452",
            "telephone_number": "608-389-0148",
            "fax_number": "608-389-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHEIM-DIETZ",
        "first_name": "VICTORIA",
        "middle_name": "ROSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "13031-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Michael Buchanan, PHARMD
• Mary Elizabeth Buchanan, MD
• Michelle Buchanan
• Shelby Buchanan, BSN, RN
• Terry Bucheger, CADCIII,CCSII
• Kimberly A Buchta, PA
• Kara E Buck, PHARMD
• Stephanie Mary Buck, PH.D., MACP
• Deidre M Buckingham, PTA, LMT
• Daniel Buckland, MD PHD

• Clinical Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.