SAMANTHA J SCHAEFER LCSW, CSAC
NPI 1164077178
Social Worker - Clinical in Fond Du Lac, WI

Active since August 06, 2019PECOS Enrolled
430 E DIVISION ST, FOND DU LAC, WI 54935(920) 929-2300 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2023, Oct 21, 2020, Aug 6, 2019 (3 updates tracked since 2019).

About Samantha J Schaefer Lcsw, Csac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA J SCHAEFER LCSW, CSAC (NPI 1164077178) is an individual clinical provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (10174-123) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164077178
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA J SCHAEFERCredential: LCSW, CSAC
Location Address430 E DIVISION STFond Du Lac, WI 54935-4560
Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8343
Sole ProprietorNo
Enumeration DateAugust 6, 2019
Last NPPES UpdateMarch 13, 20233 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
NPI 1164077178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 10174-123
Definition
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 18368 (WI), 16658-132 (WI)
Also ListedSocial WorkerTaxonomy 104100000X · License 131353 (WI)
430 E DIVISION ST, Fond Du Lac, WI 54935

Other Names 1

Former Name (1)Samantha Kosterman Apsw, Sac-it

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha J Schaefer Lcsw, Csac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
430 E DIVISION ST
FOND DU LAC, WI 54935
Pharmacist (Pharmacotherapy)
430 E DIVISION ST
FOND DU LAC, WI 54935
Specialist/Technologist, Other
430 E DIVISION ST
FOND DU LAC, WI 54935
Emergency Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Speech-Language Pathologist
430 E DIVISION ST
FOND DU LAC, WI 54935
Internal Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Practitioner
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Anesthetist, Certified Registered
430 E DIVISION ST
FOND DU LAC, WI 54935

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Schaefer's NPI number?

The NPI number for Samantha Schaefer is 1164077178. It was assigned to this individual provider in the NPPES registry on August 6, 2019. The provider is also known as Samantha Kosterman Apsw, Sac-It.

Where is Samantha Schaefer located?

Samantha Schaefer practices at 430 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 929-2300.

What is Samantha Schaefer's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Samantha Schaefer enrolled in Medicare?

Yes. Samantha Schaefer is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Schaefer accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Samantha Schaefer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Schaefer was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.