Provider Demographics
NPI:1235951286
Name:SCHIEFFER, PAMELA K (CSAC)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:K
Last Name:SCHIEFFER
Suffix:
Gender:F
Credentials:CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5219 W HOWARD AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53220-2067
Mailing Address - Country:US
Mailing Address - Phone:414-935-8086
Mailing Address - Fax:
Practice Address - Street 1:3910 W LISBON AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53208-1834
Practice Address - Country:US
Practice Address - Phone:414-455-0672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17147132101YA0400X
WI135156121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)