Healthcare Provider Details

I. General information

NPI: 1417173477
Provider Name (Legal Business Name): SHEILA A SAMPTON APSW, MAC, ICS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8989 N PARK PLAZA CT APT 207
BROWN DEER WI
53223-2145
US

IV. Provider business mailing address

8989 N PARK PLAZA CT APT 207
BROWN DEER WI
53223-2145
US

V. Phone/Fax

Practice location:
  • Phone: 414-324-8660
  • Fax:
Mailing address:
  • Phone: 414-324-8660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number1718-121
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number1718-121
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1086-132
License Number StateWI
# 5
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateWI
# 6
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: