Healthcare Provider Details

I. General information

NPI: 1104184514
Provider Name (Legal Business Name): AMY J KUHLKA BSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY J SCHLINSOG BSW

II. Dates (important events)

Enumeration Date: 04/24/2012
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 N SAINT JOSEPH AVE
MARSHFIELD WI
54449-1832
US

IV. Provider business mailing address

10991 W 1ST ST
HEWITT WI
54441-9031
US

V. Phone/Fax

Practice location:
  • Phone: 715-387-7890
  • Fax: 715-389-4925
Mailing address:
  • Phone: 715-937-3296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number10533-120
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number10533-120
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: