Provider Demographics
NPI:1326841941
Name:VAN SCHAICK, JOSHUA CHARLES (APSW)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:CHARLES
Last Name:VAN SCHAICK
Suffix:
Gender:
Credentials:APSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1559 N PROSPECT AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-2314
Mailing Address - Country:US
Mailing Address - Phone:262-391-8079
Mailing Address - Fax:
Practice Address - Street 1:1505 N 60TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53208-2153
Practice Address - Country:US
Practice Address - Phone:262-391-8079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI135357-1211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical