Individual provider Active NPI

Stephanie Scheiber, MSW, LCSW, SAS

  • Clinical Social Worker
  • Oconomowoc, WI
National Provider Identifier
1316243496
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7792-123 Issued in WI
Practice address
405 E Forest St Ste 105
Oconomowoc, WI 53066-3707
Phone
(920) 285-2487
NPI assigned
Feb 7, 2011
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15953-130 WI
Clinical Social Worker 1041C0700X 7792-123 WI Primary

Addresses

Primary practice location

405 E Forest St Ste 105
Oconomowoc, WI 53066-3707

Mailing address

209 Parkview Dr
Johnson Creek, WI 53038-9422
Phone (920) 285-2487

Other practice location 1

1230 Corporate Center Dr Ste 100
Oconomowoc, WI 53066-4883
Phone (262) 789-1191 ext. 388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111109000334 WI Practitioner - Clinical Social Worker 9133392061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

405 E Forest St
Suite 105
Oconomowoc, WI 53066-3707
Phone (920) 285-2487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15953-130WIMDAddiction (Substance Use Disorder) Counselor
7792-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc Addiction (Substance Use Disorder) CurrentSince Aug 7, 2011 Accepting new patients
Stephanie Scheiber LLC Clinical CurrentSince Oct 31, 2022 Accepting new patients

Locations

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

1230 Corporate Center Dr
Ste 100
Oconomowoc, WI 53066
Phone 2625423255294

405 E Forest St
Ste 105
Oconomowoc, WI 53066
Phone (920) 285-2487

1143 Warwick Way
Racine, WI 53406
Phone (262) 321-0110

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1316243496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PARKVIEW DR",
            "city": "JOHNSON CREEK",
            "state": "WI",
            "postal_code": "530389422",
            "telephone_number": "920-285-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E FOREST ST STE 105",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663707",
            "telephone_number": "920-285-2487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Corporate Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530664883",
            "country_code": "US",
            "telephone_number": "262-789-1191 x388",
            "fax_number": "262-567-5451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHEIBER",
        "first_name": "STEPHANIE",
        "credential": "MSW, LCSW, SAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15953-130",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7792-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconomowoc, WI

Sources for this page

Verify at the official NPI Registry.