Healthcare Provider Details

I. General information

NPI: 1154066975
Provider Name (Legal Business Name): SOMMER P ZABEL APSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2022
Last Update Date: 05/05/2022
Certification Date: 05/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

926 S 8TH ST
MANITOWOC WI
54220-4535
US

IV. Provider business mailing address

1014 N 16TH ST APT A
SHEBOYGAN WI
53081-3825
US

V. Phone/Fax

Practice location:
  • Phone: 920-683-4923
  • Fax:
Mailing address:
  • Phone: 920-683-4923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number132530-121
License Number StateWI

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: