Pachee Stern, APSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

134875 Issued in WI

Practice address

3301 N Ballard Rd Ste C
Appleton, WI 54911-9002

Phone

(920) 234-9240

Fax

(920) 364-6096

NPI assigned

May 30, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Pachee Xiong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CCP Clinic, LLC

  • Clinical Psychologist
  • De Pere, WI
  • NPI 1396431714
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1144060872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E LONGVIEW DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112167",
            "telephone_number": "920-234-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N BALLARD RD STE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549119002",
            "telephone_number": "920-234-9240",
            "fax_number": "920-364-6096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 E Longview Dr",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549112167",
            "country_code": "US",
            "telephone_number": "920-234-9240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERN",
        "first_name": "PACHEE",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "134875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PACHEE",
            "last_name": "XIONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shay L Stephen
• Hollie Marie Stepien, BCBA
• Amy Irene Stern, CCC-SLP
• Christopher Lee Stern, PHARMD
• Madison Marie Stern, NP
• Courtney L Steuer, LCSW, CSAC
• Steven Klein, PH.D., S.C.
• Paul R Stevens, MD
• Molly Cathleen Hoehn Stice, LMFT
• Anna Stieby

• Social Worker in Appleton, WI
• Providers in Appleton, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.