SHELLY LYNN DUTCH CSAC, ICS
NPI 1669678512
Counselor - Addiction (Substance Use Disorder) in Madison, WI

Active since June 26, 2007
1334 APPLEGATE RD, SUITE 101, MADISON, WI 53713(608) 221-1500(608) 221-1515 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shelly Lynn Dutch Csac, Ics NPPES

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

SHELLY LYNN DUTCH CSAC, ICS (NPI 1669678512) is an individual addiction (substance use disorder) provider in Madison, Wisconsin, licensed in Wisconsin (1047-132) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1669678512
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHELLY LYNN DUTCHCredential: CSAC, ICS
Location Address1334 APPLEGATE RD, SUITE 101Madison, WI 53713-3184
Mailing Address1334 Applegate Rd, Suite 101Madison, WI 53713-3184 · (608) 221-1500 · Fax (608) 221-1515
Fax(608) 221-1515
Sole ProprietorNo
Enumeration DateJune 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1669678512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WI · 1047-132
1334 APPLEGATE RD, Madison, WI 53713

Other Identifiers 2

Other12230-134WI · Intermediate Clinical Sup
Other1047-132WI · Clinical Sub. Abuse Coun

Other Providers at the Same Location NPPES 6

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

Orthotist
1334 APPLEGATE RD
MADISON, WI 53713
Counselor (Addiction (Substance Use Disorder))
1334 APPLEGATE RD
MADISON, WI 53713
Nurse Practitioner (Primary Care)
1334 APPLEGATE RD
MADISON, WI 53713
Counselor (Addiction (Substance Use Disorder))
1334 APPLEGATE RD, SUITE 101
MADISON, WI 53713
Counselor (Addiction (Substance Use Disorder))
1334 APPLEGATE RD, SUITE 101
MADISON, WI 53713
Prosthetic/Orthotic Supplier
1334 APPLEGATE RD, SUITE 200
MADISON, WI 53713

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 Dutch's NPI number?

The NPI number for Shelly Dutch is 1669678512. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Where is Shelly Dutch located?

Shelly Dutch practices at 1334 Applegate Rd Suite 101, Madison, WI 53713. The listed phone number is (608) 221-1500.

What is Shelly Dutch's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shelly Dutch was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.