Samantha J Schaefer, LCSW, CSAC
Social Worker, Clinical in Fond Du Lac, WI. Individual provider (NPI-1).
NPI number1164077178
StatusActive
Last updated in NPPESAug 19, 2026
Details
- NPI
- 1164077178
- Entity type
- Individual (NPI-1)
- Name
- Samantha J Schaefer
- Credential
- LCSW, CSAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2019
- Certification date
- Aug 19, 2026
- Last updated
- Aug 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 10174-123 | WI | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 16658-132 | WI | |
| 104100000X | Social Worker | 131353 | WI | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 18368 | WI |
Other names
- Samantha Kosterman (Former Name)
Practice location
N6119 Schraven CirFond Du Lac, WI 54937-9470
Phone 920-238-3487
Mailing address
N6119 Schraven CirFond Du Lac, WI 54937-9470
Phone 920-238-3487
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