Joshua Joel Schoessow, APSW
Individual provider Active NPI Social Worker · Frederic, WI
NPI 1891569620 · NPPES record last updated Nov 13, 2023
Key facts
- NPI
- 1891569620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 134364-121 (WI)
- Practice address
- 203 United Way
Frederic, WI 54837-8938 - Phone
- (715) 349-7069
- Fax
- (888) 625-8634
- NPI assigned
- Nov 13, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134364-121 | WI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 134364-121 | WI | Yes |
Addresses
Primary practice location
203 United Way
Frederic, WI 54837-8938
Mailing address
PO Box 309
Siren, WI 54872-0309
Phone (715) 349-7069
Other providers in Frederic, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.