SHELLY MARIE THEDER
NPI 1366057242
Social Worker in Jefferson, WI

Q: What is the provider's specialty?

The provider's specialty is Social Worker with taxonomy code 104100000X.

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: July 19, 2026.

On this page

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

Open in Google Maps ↗