Healthcare Provider Details

I. General information

NPI: 1942085618
Provider Name (Legal Business Name): SARAH JUNGWIRTH APSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2023
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 N WESTHILL BLVD STE A
APPLETON WI
54914-6532
US

IV. Provider business mailing address

3 NEENAH CTR
NEENAH WI
54956-3070
US

V. Phone/Fax

Practice location:
  • Phone: 920-203-8524
  • Fax:
Mailing address:
  • Phone: 920-720-2300
  • Fax: 920-720-3719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number127308
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: