Healthcare Provider Details

I. General information

NPI: 1114840444
Provider Name (Legal Business Name): ELIZABETH J SCHROEDER APSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LIZ SCHROEDER APSW

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34700 VALLEY RD
OCONOMOWOC WI
53066-4500
US

IV. Provider business mailing address

1011 WELLINGTON WAY
HARTLAND WI
53029-2707
US

V. Phone/Fax

Practice location:
  • Phone: 262-646-4411
  • Fax:
Mailing address:
  • Phone: 262-354-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number135225-121
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: