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General NPI Number Information
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NPI Number | 1134581945
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Entity Type | Individual
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Provider Name | ZOEY SCHMIDT LCSW, CSAC
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Gender | Female
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 07/07/2020
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Provider Practice Location Address
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Address Line | 4555 W SCHROEDER DR
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City | BROWN DEER
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State | WI
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Zip | 53223-1475
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Country | US
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Telephone | 414-865-2471
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Fax |
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Provider Business Mailing Address
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Address Line | 740 S 103RD ST
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City | WEST ALLIS
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State | WI
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Zip | 53214-2526
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Country | US
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Telephone | 414-801-7413
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 9394-123
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 17664-130
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License Number State | WI
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