Active NPI
Dennis J Vandermause, LCSW
- Social Worker
- Eagle River, WI
National Provider Identifier
1629264411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 3580-123
- Practice address
- 615 E Wall St
Eagle River, WI 54521 - Phone
- (715) 479-2600
- NPI assigned
- Sep 14, 2007
- Last updated
- Jun 13, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 3580-123 | WI | Primary |
| Clinical Social Worker | 1041C0700X | LW00009372 | WA |
Addresses
Primary practice location
615 E Wall St
Eagle River, WI 54521
Mailing address
PO Box 1062
Hayward, WI 54843-1062
Phone (715) 558-4901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39223400 | Medicaid | WI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3580-123 | WI | MD | Social Worker |
| LW00009372 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Counseling Services LTD | Social Worker | Current | Accepting new patients |
| Northland Counseling Services LTD | Past | Accepting new patients | |
| Karen C Lindner PHD PS | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Hayward, WI
- NPI 1659544849
-
dba Karen C Lindner PhD
- Clinical Psychologist
- Port Orchard, WA
- NPI 1720143167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1629264411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1062",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548431062",
"telephone_number": "715-558-4901",
"fax_number": "715-634-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E WALL ST",
"city": "EAGLE RIVER",
"state": "WI",
"postal_code": "54521",
"telephone_number": "715-479-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERMAUSE",
"first_name": "DENNIS",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-14",
"last_updated": "2025-06-13",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "3580-123",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00009372",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39223400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eagle River, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.