Provider Demographics
NPI:1790537926
Name:SCHMIDT, SARAH J (MSW APSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MSW APSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22308
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54305-2308
Mailing Address - Country:US
Mailing Address - Phone:920-436-4366
Mailing Address - Fax:920-437-3540
Practice Address - Street 1:626 S IRWIN AVE
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54301-3304
Practice Address - Country:US
Practice Address - Phone:920-433-3372
Practice Address - Fax:920-437-3540
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1347861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical