Healthcare Provider Details

I. General information

NPI: 1245126069
Provider Name (Legal Business Name): ABIGAIL G ZEIDLER MSW, APSW, LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBIE ZEIDLER MSW, APSW, LGSW

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 APPLETON RD
MENASHA WI
54952-1164
US

IV. Provider business mailing address

1810 APPLETON RD
MENASHA WI
54952-1164
US

V. Phone/Fax

Practice location:
  • Phone: 920-739-4226
  • Fax: 920-739-7639
Mailing address:
  • Phone: 920-739-4226
  • Fax: 920-739-7639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number135511-121
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: