Neil C Van Rossum, MS, LCSW, CSAC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

396-123 Issued in WI

Practice address

W3272 Wolf River Drive
Keshena, WI 54135-9202

Phone

(715) 799-3861

Fax

(715) 799-3517

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1366538712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MENOMINEE COUNTY HUMAN SERVICES",
            "address_2": "P.O. BOX 280",
            "city": "KESHENA",
            "state": "WI",
            "postal_code": "541350280",
            "telephone_number": "715-799-3861",
            "fax_number": "715-799-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W3272 WOLF RIVER DRIVE",
            "city": "KESHENA",
            "state": "WI",
            "postal_code": "541359202",
            "telephone_number": "715-799-3861",
            "fax_number": "715-799-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ROSSUM",
        "first_name": "NEIL",
        "middle_name": "C",
        "credential": "MS, LCSW, CSAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "396123",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1080-132",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "396-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39220600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy J. Slagle, M.D.
• St Vincent Hospital-Hospital Sisters-Third Order of St Francis
• Susan Suski, CSAC
• Kateri Swett
• Mumal Tunio, DDS
• Thomas Walczyk, DDS
• Melissa May Wescott, SAC-IT
• Sue C Weso, APNP
• Alexandra Wolf

• Social Worker in Keshena, WI
• Providers in Keshena, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.