Provider Demographics
NPI:1427942291
Name:WOODKE, SHEILA
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:WOODKE
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9198A THRALL RD
Mailing Address - Street 2:
Mailing Address - City:WOODRUFF
Mailing Address - State:WI
Mailing Address - Zip Code:54568-9329
Mailing Address - Country:US
Mailing Address - Phone:715-439-4377
Mailing Address - Fax:
Practice Address - Street 1:420 E GREEN BAY ST STE 101
Practice Address - Street 2:
Practice Address - City:SHAWANO
Practice Address - State:WI
Practice Address - Zip Code:54166-2500
Practice Address - Country:US
Practice Address - Phone:715-201-0361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker