Healthcare Provider Details

I. General information

NPI: 1568546315
Provider Name (Legal Business Name): JACQUELINE M SCHUH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 EAST MAIN STREET
CAMBRIDGE WI
53523
US

IV. Provider business mailing address

PO BOX 548
CAMBRIDGE WI
53523
US

V. Phone/Fax

Practice location:
  • Phone: 608-423-4700
  • Fax: 608-423-7751
Mailing address:
  • Phone: 608-423-4700
  • Fax: 608-423-7751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: