Healthcare Provider Details

I. General information

NPI: 1326903741
Provider Name (Legal Business Name): JANE STUEBER APSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W LAYTON AVE STE 110
MILWAUKEE WI
53221-5400
US

IV. Provider business mailing address

2500 W LAYTON AVE STE 110
MILWAUKEE WI
53221-5400
US

V. Phone/Fax

Practice location:
  • Phone: 414-383-4455
  • Fax: 414-727-8730
Mailing address:
  • Phone: 414-383-4455
  • Fax: 414-727-8730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number135924-121
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: