Organization Active NPI

Lavender & Ivy Wellness LLC

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1225929896
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LAVENDER & IVY WELLNESS LLC
Practice address
621 N Sherman Ave Ste B7
Madison, WI 53704-4452
Phone
(608) 389-0148
NPI assigned
Jul 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Victoria Rose Buchheim-Dietz, LCSWNPI 1003658485
Title
Owner/Clinical Psychotherapist
Phone
(651) 302-3496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

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

Mailing address

621 N Sherman Ave Ste B7
Madison, WI 53704-4452
Phone (651) 302-3496

National Provider Directory

National Provider Directory

Locations

121 E Main St
Fl 3
Madison, WI 53703
Phone (608) 389-0148

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1225929896",
    "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": "651-302-3496"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER & IVY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "BUCHHEIM-DIETZ",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "651-302-3496",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.