Provider Demographics
NPI:1225869381
Name:SCHEELER, KRISTIN (MSSW, CAPSW, OSW-C)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:SCHEELER
Suffix:
Gender:F
Credentials:MSSW, CAPSW, OSW-C
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:REUSCHLEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1610 FRISCH RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-3245
Mailing Address - Country:US
Mailing Address - Phone:608-234-2757
Mailing Address - Fax:
Practice Address - Street 1:1610 FRISCH RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-3245
Practice Address - Country:US
Practice Address - Phone:608-234-2757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI126885-121101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health