Provider Demographics
NPI:1316243496
Name:SCHEIBER, STEPHANIE (MSW, LCSW, SAS)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:SCHEIBER
Suffix:
Gender:F
Credentials:MSW, LCSW, SAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53038-9422
Mailing Address - Country:US
Mailing Address - Phone:920-285-2487
Mailing Address - Fax:
Practice Address - Street 1:405 E FOREST ST STE 105
Practice Address - Street 2:
Practice Address - City:OCONOMOWOC
Practice Address - State:WI
Practice Address - Zip Code:53066-3707
Practice Address - Country:US
Practice Address - Phone:920-285-2487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-07
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15953-130101YA0400X
WI7792-1231041C0700X
WI127792-1211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)