Pamela Anne Schmidt-Peckham, MSW, APSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1661-121 Issued in WI

Practice address

2301 Sun Valley Dr
Suite #209
Delafield, WI 53018-2318

Phone

(262) 646-8288

Fax

(262) 646-8255

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Affiliated Wellness Group LLC

  • Social Worker
  • Pewaukee, WI
  • NPI 1386678423
  NPD (past)
• Allied Counseling Services, S.C.

  • Clinical Psychologist
  • Waukesha, WI
  • NPI 1003867813
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780606129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 SUN VALLEY DR",
            "address_2": "SUITE #209",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182318",
            "telephone_number": "262-646-8288",
            "fax_number": "262-646-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 SUN VALLEY DR",
            "address_2": "SUITE #209",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182318",
            "telephone_number": "262-646-8288",
            "fax_number": "262-646-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT-PECKHAM",
        "first_name": "PAMELA",
        "middle_name": "ANNE",
        "credential": "MSW, APSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "1661-121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43574500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Kathleen Russler, M.D.
• Ariel Salazar
• Salus Inc
• Mark Schaten
• David M Schlaack, DDS
• Tanner Schuh, DC
• Schultz Family Chiropractic and Wellness Center, LLC
• Peggy L Schwartz, ANP,MSN
• Seedling, LLC
• Jamie Lynn Shaw

• All providers in Delafield, WI
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.