Provider Demographics
NPI:1669268249
Name:SCHAEFER, KAYCEE A (MSW,APSW)
Entity type:Individual
Prefix:
First Name:KAYCEE
Middle Name:A
Last Name:SCHAEFER
Suffix:
Gender:
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 1:6710 N SIDNEY PL APT 203
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-3250
Mailing Address - Country:US
Mailing Address - Phone:262-468-8725
Mailing Address - Fax:
Practice Address - Street 1:2424 S 102ND ST
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53227-2106
Practice Address - Country:US
Practice Address - Phone:414-539-3031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
135372121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker