Individual provider · Type 1 NPI

Myron Irving Hustad, MSW LCSW ACSW AAMFT

Clinical Social Worker · Milwaukee, WI

NPI number 1629159355 Active

Practice location

5000 West National Avenue
Milwaukee, WI 53295

Call (414) 384-2000 Map

Fax (414) 382-5295

Mailing address

8705 Glencoe Circle
Wauwatosa, WI 53226

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2246123 (WI)
Marriage & Family Therapist 106H00000X241124 (WI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1629159355

Myron Irving Hustad, MSW LCSW ACSW AAMFT's National Provider Identifier is 1629159355, issued on Oct 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 11, 2025.