Provider Demographics
NPI:1740319680
Name:SCHACHT, WILLIAM D (LICSW)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:D
Last Name:SCHACHT
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10500 W LOOMIS RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-8111
Mailing Address - Country:US
Mailing Address - Phone:414-858-1014
Mailing Address - Fax:414-858-1017
Practice Address - Street 1:10500 W LOOMIS RD
Practice Address - Street 2:SUITE 150
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-8111
Practice Address - Country:US
Practice Address - Phone:414-858-1014
Practice Address - Fax:414-858-1017
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3207-123104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker