MS. ROBERTA VAN DUSEN (LCSW) – Mental Health Counselor, NPI 1033468913

MS. ROBERTA VAN DUSEN (LCSW) is a healthcare provider. based in Melbourne, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW4263 (FL). The NPI Number for MS. ROBERTA VAN DUSEN (LCSW) is 1033468913

Main info

Female
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
MS. ROBERTA VAN DUSEN (LCSW)
NPI
1033468913
Phone
(321) 722-5200
Address
400 EAST SHERIDAN RD
Enumeration Date
6 September 2012
Last Update Date
23 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4076346264
Graduation Year
1980 (46 years ago)
PAC ID
9032245402
Group Practice PAC ID
8729069380
Professional Enrollment ID
I20170922000786
Address ID
FL329553133RO1770XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for MS. ROBERTA VAN DUSEN (LCSW)

  • 400 EAST SHERIDAN RD

    MELBOURNE, FL 329013122

    Phone: (321) 722-5200

    Type: Mailing

  • 1770 CEDAR ST

    ROCKLEDGE, FL 329553133

    Phone: (321) 890-1500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170922000786IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour18016$0
View full utilization report →

Insurance plans in this area (ZIP 32901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729069380View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Mental Health CounselorFL
-FL
Clinical Social WorkerFL
-FL
-FL
Nurse PractitionerFL
Clinical PsychologistFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for MS. ROBERTA VAN DUSEN (LCSW) in U.S. healthcare records?
The official identifier for MS. ROBERTA VAN DUSEN (LCSW) is NPI 1033468913.
Active or inactive — what applies to MS. ROBERTA VAN DUSEN (LCSW)?
You should see MS. ROBERTA VAN DUSEN (LCSW) as active in CMS-hosted NPPES data.
What expertise is attributed to MS. ROBERTA VAN DUSEN (LCSW)?
MS. ROBERTA VAN DUSEN (LCSW)'s specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. ROBERTA VAN DUSEN (LCSW)?
Travel planning: use Melbourne, Florida as the reference point for MS. ROBERTA VAN DUSEN (LCSW), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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