HOLLY GRAY SCHUCK (NPI# 1487861084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487861084 |
| Entity Type | Individual |
| Full Name | HOLLY GRAY SCHUCK |
| Credential | LICSW |
| Practice Address |
13380 W Trepania Rd Hayward WI 54843-2186 |
| Mailing Address |
W9230 County Hwy E Spooner WI 54801-8858 |
| Practice Telephone | 7156385100 |
| Practice Fax Number | 7156346107 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
06567 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43558300 | 05 |
| Street Address |
13380 W TREPANIA RD |
| City | HAYWARD |
| State | WI |
| Zip Code | 54843-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194830208 | Lac Courte Oreilles Governing Board | Clinic/Center | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2006-08-20 |
| 1942826847 | Dawn Marcel Quaderer | Registered Nurse | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2020-06-17 |
| 1265052146 | Danielle Hughes | Nurse Practitioner | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2020-04-21 |
| 1730727710 | Lynsey Michelle Weber | Registered Nurse | 13380 W Trepania Rd, Hayward, WI 54843 | 2019-12-20 |
| 1386299626 | Gina Marie Benson | Clinical Nurse Specialist | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2019-08-05 |
| 1477107282 | Christian M Clarquist | Registered Nurse | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2019-07-30 |
| 1063066082 | Krista Lee Strunk | Registered Nurse | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2019-07-29 |
| 1851945968 | Melinda Young | Registered Nurse | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2019-07-26 |
| 1790284966 | Jennifer L Petit | Counselor | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2018-02-02 |
| 1063927432 | Alexandra Bice | Counselor | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2017-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1245687417 | Gary Girard | Counselor | 15655 W County Hwy B, Hayward, WI 54843 | 2016-05-18 |
| 1164844379 | Elizabeth Anne Johnson | Counselor | 10594 Main Street #1021, Hayward, WI 54843 | 2014-01-08 |
| 1376776922 | Amy Marilyn Billman | Massage Therapist | 11128n Highway 27/77, Hayward, WI 54843 | 2009-08-31 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
| 1982856076 | Align Therapy,llc | In Home Supportive Care | 10767 Nyman Avenue, Hayward, WI 54843 | 2008-10-21 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1679748966 | Gwendolyn Vinopal | Physical Therapist | 16014w Sleepy Hollow Drive, Hayward, WI 54843 | 2008-04-28 |
| 1558546523 | Ruth Anne Gillmor | Social Worker | 10610 Main, Hayward, WI 54843 | 2008-01-08 |
| Find all providers in zip 54843 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978575 | Bernadette Antoinette Wood | Social Worker | 2944 Kelly St, Hayward, CA 94541-3459 | 2020-10-04 |
| 1811547193 | Michelle L Ellerbee | Social Worker | 677 Morva Ct, Hayward, CA 94541-1826 | 2019-09-18 |
| 1487201182 | Jenell Thompson | Social Worker | 249 W Jackson St # 113, Hayward, CA 94544-1811 | 2019-08-19 |
| 1386110906 | Quimani Green | Social Worker | 22222 Foothill Blvd, Hayward, CA 94541-2711 | 2018-10-22 |
| 1578071627 | Laphonsa Gibbs | Social Worker | 1238 Walpert St Apt 25, Hayward, CA 94541-6710 | 2018-01-10 |
| 1073903878 | Ina Kwofie | Social Worker | 22248 Main St., Hayward, CA 94541 | 2015-01-31 |
| 1104226273 | Mohamed Conteh | Social Worker | 555 Sycamore Avenue #4, Hayward, CA 94544 | 2014-08-26 |
| 1942637699 | Adriana Guadalupe Escobar Correa | Social Worker | 22320 Foothill Blvd Ste 400, Hayward, CA 94541-2719 | 2013-09-26 |
| 1447684378 | Eduardo Felipe Herrera | Social Worker | 21455 Birch St., Hayward, CA 94541 | 2013-08-28 |
| 1144580580 | Rashel Perry | Social Worker | 31840 Chicoine Ave, Hayward, CA 94544-7728 | 2012-05-18 |
| Find all providers in HAYWARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.