Organization Active NPI

Wisconsin Anxiety and Depression Clinic, LLC.

  • Clinical Social Worker
  • Hartland, WI
National Provider Identifier
1427775840
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WISCONSIN ANXIETY AND DEPRESSION CLINIC, LLC.
Practice address
515 W North Shore Dr Ste 101
Hartland, WI 53029-8365
Phone
(262) 682-3147
NPI assigned
Oct 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Mr. Andrew Stephen Bailey, LCSWNPI 1043683451
Title
Founder
Phone
(262) 682-3147

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

515 W North Shore Dr Ste 101
Hartland, WI 53029-8365

Mailing address

515 W North Shore Dr Ste 101
Hartland, WI 53029-8365
Phone (262) 682-3147

National Provider Directory

National Provider Directory

Locations

515 W North Shore Dr
Ste 101
Hartland, WI 53029
Phone (262) 682-3147

200 W Summit Ave
Ste 260
Wales, WI 53183

Practitioners & affiliated clinicians

Practitioners 2

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": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1427775840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W NORTH SHORE DR STE 101",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298365",
            "telephone_number": "262-682-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W NORTH SHORE DR STE 101",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298365",
            "telephone_number": "262-682-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN ANXIETY AND DEPRESSION CLINIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "262-682-3147",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.