MICHAEL VIENNEAU (LCSW) – Clinical Social Worker, NPI 1720842867

MICHAEL VIENNEAU (LCSW) is a healthcare provider. based in Stoughton, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 8409-123 (WI). The NPI Number for MICHAEL VIENNEAU (LCSW) is 1720842867

Main info

Male
Sole Proprietor
27 Years Of Experience
Name
MICHAEL VIENNEAU (LCSW)
NPI
1720842867
Phone
(608) 445-0673
Address
148 FORTON ST
Enumeration Date
8 February 2024
Last Update Date
8 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6082058308
Graduation Year
1999 (27 years ago)
PAC ID
7719429760
Group Practice PAC ID
1456893403
Professional Enrollment ID
I20241206000269
Address ID
WI535895501ST100XXCIRX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,446 CLINICAL SOCIAL WORKER in WI

Provider Addresses for MICHAEL VIENNEAU (LCSW)

  • 148 FORTON ST

    STOUGHTON, WI 535891604

    Phone: (608) 445-0673

    Type: Mailing

  • 100 BUSINESS PARK CIR STE 201

    STOUGHTON, WI 535895501

    Phone: (608) 445-0673

    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: 2024-12-06

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
I20241206000269IClinical 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 53589)

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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: 1456893403View full group profile
NameSpecialtyState
Marriage And Family TherapistWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

What unique ID ties claims to MICHAEL VIENNEAU (LCSW)?
NPI 1720842867 is assigned to MICHAEL VIENNEAU (LCSW) under the national enumeration system.
Is MICHAEL VIENNEAU (LCSW) active in the national directory?
MICHAEL VIENNEAU (LCSW)'s public NPI profile is in an active state.
What kind of provider is MICHAEL VIENNEAU (LCSW)?
The page reflects Clinical Social Worker for MICHAEL VIENNEAU (LCSW). Clinical services aligned with this taxonomy classification.
Where is MICHAEL VIENNEAU (LCSW)'s primary listing?
We display Stoughton, Wisconsin because that is what the record indicates for MICHAEL VIENNEAU (LCSW).
How can I contact MICHAEL VIENNEAU (LCSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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