Individual provider · Type 1 NPI

Vanessa Diana Statam, LCSW

Clinical Social Worker · Madison, WI

NPI number 1659926509 Active

Practice location

2701 International Ln Ste 201
Madison, WI 53704-3126

Call (608) 268-6530 Map

Fax (608) 709-1744

Mailing address

815 Forward Drive
Madison, WI 53711-2443

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9892-123 (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 1659926509

Vanessa Diana Statam, LCSW's National Provider Identifier is 1659926509, issued on Aug 7, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Feb 4, 2026.