Vandermause, Dennis J

Vandermause, Dennis J is an individual health care provider with primary practice located at 615 E Wall St , Eagle River WI 54521. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Vandermause, Dennis J can be contacted via phone (715) 479-2600.

Contact Information

Primary practice address
615 E Wall St Eagle River WI 54521
Phone: (715) 479-2600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00009372 Washington
Behavioral Health & Social Service Providers / Social Worker 104100000X 3580-123 Wisconsin

Profile Details

NPI number 1629264411
LBN Legal business name Vandermause, Dennis J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2007
Last updated Jun 13th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629264411 NPPES
Wisconsin MEDICAID 39223400

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