DIANA ALTSTADT (LCSW, CMT) – Clinical Social Worker, NPI 1093335150

DIANA ALTSTADT (LCSW, CMT) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW, CMT. They hold a License No. 7558-123 (WI). The NPI Number for DIANA ALTSTADT (LCSW, CMT) is 1093335150

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DIANA ALTSTADT (LCSW, CMT)
NPI
1093335150
Phone
Not provided
Address
4215 N 100TH ST UNIT 310
Enumeration Date
19 April 2020
Last Update Date
21 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
41493580001437
Graduation Year
2001 (25 years ago)
PAC ID
0547701393
Group Practice PAC ID
2466366059
Professional Enrollment ID
I20240919002205
Address ID
WI532081953MI3522XAVEX400

Contacts

Secure Messaging
people1st@protonmail.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

1,446 CLINICAL SOCIAL WORKER in WI

Provider Addresses for DIANA ALTSTADT (LCSW, CMT)

  • 4215 N 100TH ST UNIT 310

    MILWAUKEE, WI 532221301

    Phone:

    Type: Mailing

  • 10625 W NORTH AVE STE 102

    WAUWATOSA, WI 532262315

    Phone: (414) 678-9294

    Type: Location

  • 2763 N 75TH ST

    WAUWATOSA, WI 532101021

    Phone:

    Type: Mailing

  • 5050 W VLIET ST

    MILWAUKEE, WI 532082623

    Phone: (414) 678-9294

    Type: Location

  • 6231 W LLOYD ST

    WAUWATOSA, WI 532132005

    Phone: (414) 688-2200

    Type: Mailing

  • 3522 W LISBON AVE

    MILWAUKEE, WI 532081953

    Phone: (414) 935-8000

    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: 2024-09-19

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
I20240919002205IClinical Social WorkerWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53222)

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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: 2466366059View full group profile
NameSpecialtyState
Nurse PractitionerWI
Nurse PractitionerWI
Mental Health CounselorWI
Nurse PractitionerIL
Family PracticeWI
Physician AssistantWI
P O D I A T R YWI
Internal MedicineNY
-WI
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I use this page to confirm DIANA ALTSTADT (LCSW, CMT)'s NPI?
Yes. DIANA ALTSTADT (LCSW, CMT) is listed with NPI 1093335150 in the public NPI dataset.
Is DIANA ALTSTADT (LCSW, CMT) listed as active for patients and plans?
The listing shows DIANA ALTSTADT (LCSW, CMT) as active in the NPI system.
What taxonomy line describes DIANA ALTSTADT (LCSW, CMT)?
For research purposes, treat DIANA ALTSTADT (LCSW, CMT) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Does DIANA ALTSTADT (LCSW, CMT) list a practice location?
Patients near Milwaukee, Wisconsin may find DIANA ALTSTADT (LCSW, CMT) in results; validate coverage separately.
Is the information about DIANA ALTSTADT (LCSW, CMT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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