Provider Demographics
NPI:1760169817
Name:SCHUH, SYDNIE (LCSW)
Entity Type:Individual
Prefix:
First Name:SYDNIE
Middle Name:
Last Name:SCHUH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2714 N 68TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210-1201
Mailing Address - Country:US
Mailing Address - Phone:920-574-6583
Mailing Address - Fax:
Practice Address - Street 1:11431 N PORT WASHINGTON RD STE 260
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-3462
Practice Address - Country:US
Practice Address - Phone:262-518-0094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11178-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical