Individual provider · Type 1 NPI

Dominic Lerose, APSW

Clinical Social Worker · Madison, WI

NPI number 1780500694 Active

Practice location

3101 Latham Dr
Madison, WI 53713-4613

Call (608) 286-1132 Map

Mailing address

2 W Gorham St Apt G1
Madison, WI 53703-2087

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X136132121 (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 1780500694

Dominic Lerose, APSW's National Provider Identifier is 1780500694, issued on Jun 25, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Jun 25, 2026.