Individual provider · Type 1 NPI

Jerrold Bernard Rousseau, MSSW, LCSW

Clinical Social Worker · Glendale, WI

NPI number 1992915177 Active

Practice location

6270 N Port Washington Rd, Suite 201
Glendale, WI 53217-4311

Mailing address

5671 N Milwaukee River Pkwy
Glendale, WI 53209-4564

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4219-123 (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 1992915177

Jerrold Bernard Rousseau, MSSW, LCSW's National Provider Identifier is 1992915177, issued on May 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glendale, WI. The record was last updated on Sep 20, 2026.