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SHELLY MARIE THEDER
NPI 1366057242
Social Worker in Jefferson, WI

Active since September 09, 2020
1541 ANNEX RD, JEFFERSON, WI 53549(920) 674-8700 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shelly Marie Theder NPPES

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

SHELLY MARIE THEDER (NPI 1366057242) is an individual social worker in Jefferson, Wisconsin and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1366057242
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHELLY MARIE THEDER
Location Address1541 ANNEX RDJefferson, WI 53549-9803
Mailing Address1541 Annex RdJefferson, WI 53549-9803 · (920) 674-8700
Phone(920) 674-8700
Sole ProprietorYes
Enumeration DateSeptember 9, 2020
NPPES CertifiedSeptember 9, 2020
✔ NPI 1366057242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1541 ANNEX RD, Jefferson, WI 53549
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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.

KARI LYNN KUFFER MS
Case Manager/Care Coordinator
1541 ANNEX RD
JEFFERSON, WI 53549
Jefferson County (920) 674-3105
CHRISTINE RICHARDS-PAGEL MSW, APSW
Social Worker (Clinical)
1541 ANNEX RD
JEFFERSON, WI 53549
Jefferson County (920) 674-3105
BRITTANY LONG MS, LPC
Counselor (Professional)
1541 ANNEX RD
JEFFERSON, WI 53549
Jefferson County (920) 674-3105
LINDSEY LEIGH SLATTER
Case Manager/Care Coordinator
1541 ANNEX RD
JEFFERSON, WI 53549
Jefferson County (920) 723-3164
BRIANA ERNST
Case Manager/Care Coordinator
1541 ANNEX RD
JEFFERSON, WI 53549
Jefferson County (920) 605-2009
LAURA ANN BAMBROUGH MSW, APSW
Social Worker
1541 ANNEX RD
JEFFERSON, WI 53549
Jefferson County (920) 674-8124
JEFFERSON COUNTY
Community/Behavioral Health
1541 ANNEX RD
JEFFERSON, WI 53549
Jefferson County (920) 674-3105
JEAN THIEDE
Behavior Technician
1541 ANNEX RD
JEFFERSON, WI 53549
Jefferson County (920) 674-8164

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 Shelly Theder's NPI number?

The NPI number for Shelly Theder is 1366057242. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Where is Shelly Theder located?

Shelly Theder practices at 1541 Annex Rd, Jefferson, WI 53549. The listed phone number is (920) 674-8700.

What is Shelly Theder's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Shelly Theder was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.