Healthcare Provider Details

I. General information

NPI: 1861659237
Provider Name (Legal Business Name): JENNIFER M SCHINKTEN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 S LAWE ST SUITE 1
APPLETON WI
54915-2419
US

IV. Provider business mailing address

1620 S LAWE ST STE 1
APPLETON WI
54915-2419
US

V. Phone/Fax

Practice location:
  • Phone: 920-284-9676
  • Fax: 920-481-3121
Mailing address:
  • Phone: 920-284-9676
  • Fax: 920-481-3121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7432-123
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number7432-123
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: