Healthcare Provider Details

I. General information

NPI: 1174204523
Provider Name (Legal Business Name): CASSANDRA LYN SCHEFSKY MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASSANDRA REILLY MSW, LCSW

II. Dates (important events)

Enumeration Date: 07/28/2023
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 CHEYENNE AVE STE 200
GRAFTON WI
53024-9323
US

IV. Provider business mailing address

703 N 27TH ST
SHEBOYGAN WI
53081-3604
US

V. Phone/Fax

Practice location:
  • Phone: 262-233-1818
  • Fax: 262-421-8681
Mailing address:
  • Phone: 920-946-9628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11327-123
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: