Travis H. Vandebrown, MSW, LCSW, CSAC, ICS
NPI 1245601772ActiveIndividual· Social Worker, Clinical· West Bend, WI
Social Worker, Clinical (MSW, LCSW, CSAC, ICS) with Washington County Wisconsin, practicing in West Bend, Wisconsin. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1245601772 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LCSW, CSAC, ICS |
| Sole proprietor | Yes |
| NPI issued | Oct 9, 2015 |
| Last updated in NPPES | Sep 26, 2023 |
| Certified by provider | Sep 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 11401-123 | WI |
| Social Worker | 104100000X | 132330-121 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 16017-132 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WI) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Washington County WisconsinWest Bend, WI · 9 clinicians
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