Active NPI
Gabrielle Paige Siudzinski, APSW
- Social Worker
- De Pere, WI
National Provider Identifier
1871414722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 136217-121
- Practice address
- 1142 Orlando Dr
De Pere, WI 54115-9484 - Phone
- (920) 351-8772
- Fax
- (920) 278-5367
- NPI assigned
- Jul 24, 2026
- Last updated
- Aug 18, 2026
- 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 | 136217-121 | WI | Primary |
Addresses
Primary practice location
1142 Orlando Dr
De Pere, WI 54115-9484
Mailing address
1142 Orlando Dr
De Pere, WI 54115-9484
Phone (920) 351-8772
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1871414722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 ORLANDO DR",
"city": "DE PERE",
"state": "WI",
"postal_code": "541159484",
"telephone_number": "920-351-8772",
"fax_number": "920-278-5367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1142 ORLANDO DR",
"city": "DE PERE",
"state": "WI",
"postal_code": "541159484",
"telephone_number": "920-351-8772",
"fax_number": "920-278-5367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIUDZINSKI",
"first_name": "GABRIELLE",
"middle_name": "PAIGE",
"credential": "APSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-24",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "136217-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in De Pere, WI
- Shopko Stores Operating Co LLC (ShopKo Express Pharmacy 501)
- Shopko Stores Operating Co. LLC (ShopKo Optical 005)
- Shoptikal LLC (Shopko Optical 4005)
- Gregory Vincent Signorelli
- Ann M Sislo
- Amy B Skiver, MA
- Bruce Skovera
- Olivia Skubal, BCBA
- Smart Choice MRI LLC (Smart Choice MRI Green Bay)
- Peter Mauthe Smith, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.