Mrs Charline Stephanie Hart Sheehan, APSW, SAC-IT is a
Social Worker - Clinical based in Jefferson, Wisconsin. Mrs Charline Stephanie Hart Sheehan is licensed to practice in Wisconsin (license number 135863) and her current practice location is
1541 Annex Rd, Jefferson, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 674-3105.
NPI number for Mrs Charline Stephanie Hart Sheehan is 1609608538 and her current mailing address is 1541 Annex Rd, Jefferson, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609608538.
Healthcare Provider's Profile
| Full Name | Mrs Charline Stephanie Hart Sheehan |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1541 Annex Rd, Jefferson, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609608538
- Provider Enumeration Date: 08/19/2024
- Last Update Date: 12/16/2025
Medical Identifiers
Medical identifiers for Mrs Charline Stephanie Hart Sheehan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609608538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 20745-130 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 135863 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Charline Stephanie Hart Sheehan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Charline Stephanie Hart Sheehan, APSW, SAC-IT 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: (920) 674-3105 | Mrs Charline Stephanie Hart Sheehan, APSW, SAC-IT 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: (920) 674-3105 |
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