MEDICARE: ANTHONY KUSTERMANN M.S.W., L.C.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	8263-123	WI

General Provider Information

NPI Number	:	1831554922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY KUSTERMANN M.S.W., L.C.S.W.

Provider Business Mailing Address
First Line	:	2363 S 102ND ST STE 301
Second Line	:
City	:	WEST ALLIS
State	:	WI
Zip	:	53227-2143
Country	:	US
Telephone Number	:	262-782-2090
Fax Number	:	877-727-1439

Provider Business Practice Location Address
First Line	:	2363 S 102ND ST STE 301
Second Line	:
City	:	WEST ALLIS
State	:	WI
Zip	:	53227-2143
Country	:	US
Telephone Number	:	262-782-2090
Fax Number	:	877-727-1439

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2015
Last Update Date	:	03/31/2026

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Directions to “ ANTHONY KUSTERMANN M.S.W., L.C.S.W.” Practice Location

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