Individual
NICOLE SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1716 FORDEM AVE, MADISON, WI 53704-4604
(608) 221-3511
(608) 221-3514
Mailing address
1716 FORDEM AVE, MADISON, WI 53704-4604
(608) 221-3511
(608) 221-3514
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8330-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932478864
—
WI
Enumeration date
12/21/2011
Last updated
07/20/2015
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