Active NPI
Sherry J Pesch
- Social Worker
- Sturgeon Bay, WI
National Provider Identifier
1861599805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 421 Nebraska St
Sturgeon Bay, WI 54235-2249 - Phone
- (920) 746-2345
- Fax
- (920) 746-2439
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
421 Nebraska St
Sturgeon Bay, WI 54235-2249
Mailing address
185 E Walnut St
Sturgeon Bay, WI 54235-3900
Phone (920) 743-8316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialized Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Sturgeon Bay, WI
- NPI 1205129277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861599805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 E WALNUT ST",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542353900",
"telephone_number": "920-743-8316",
"fax_number": "920-743-3811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 NEBRASKA ST",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542352249",
"telephone_number": "920-746-2345",
"fax_number": "920-746-2439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESCH",
"first_name": "SHERRY",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sturgeon Bay, WI
Sources for this page
- 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.