Individual provider Active NPI

Robert Mathew Oertel, LCSW/LPC

  • Clinical Social Worker
  • Stevens Point, WI
National Provider Identifier
1356454375
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1863-123 Issued in WI
Practice address
1052 Main St
Suite 206
Stevens Point, WI 54481-2848
Phone
(715) 344-4800
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 388-125 WI
Clinical Social Worker 1041C0700X 1863-123 WI Primary

Addresses

Primary practice location

1052 Main St
Suite 206
Stevens Point, WI 54481-2848

Mailing address

1052 Main St Ste 206
P.O. Box 371
Stevens Point, WI 54481-2848

Other identifiers 1

IdentifierTypeStateIssuer
39612100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
388-125WIMDProfessional Counselor
1863-123WIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1356454375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 MAIN ST STE 206",
            "address_2": "P.O. BOX 371",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 MAIN ST",
            "address_2": "SUITE 206",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812848",
            "telephone_number": "715-344-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OERTEL",
        "first_name": "ROBERT",
        "middle_name": "MATHEW",
        "name_prefix": "Mr.",
        "credential": "LCSW/LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "388-125",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1863-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39612100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.