Active NPI
Lavender & Ivy Wellness LLC
- Clinical Social Worker
- Madison, WI
National Provider Identifier
1225929896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victoria Rose Buchheim-Dietz, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Madison, WI
- NPI 1003658485
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.