Individual provider Active NPI

Anthony Kustermann, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • West Allis, WI
National Provider Identifier
1831554922
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8263-123 Issued in WI
Practice address
2363 S 102ND St Ste 301
West Allis, WI 53227-2143
Phone
(262) 782-2090
Fax
(877) 727-1439
NPI assigned
Dec 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8263-123 WI Primary

Addresses

Primary practice location

2363 S 102ND St Ste 301
West Allis, WI 53227-2143

Mailing address

2363 S 102ND St Ste 301
West Allis, WI 53227-2143
Phone (262) 782-2090

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

LicenseStateTypeSpecialty
8263-123WIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1831554922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 S 102ND ST STE 301",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272143",
            "telephone_number": "262-782-2090",
            "fax_number": "877-727-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 S 102ND ST STE 301",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272143",
            "telephone_number": "262-782-2090",
            "fax_number": "877-727-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSTERMANN",
        "first_name": "ANTHONY",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-16",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8263-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.