What is Shelly Theder's NPI number?

Shelly Theder's National Provider Identifier (NPI) is 1366057242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shelly Theder's specialty?

Shelly Theder is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Shelly Theder located?

Shelly Theder's practice location on file with NPPES is 1541 Annex Rd, Jefferson, WI 53549-9803.

What is Shelly Theder's phone number?

The practice phone number listed in the NPPES registry for Shelly Theder is (920) 674-8700.

Is Shelly Theder's NPI active?

Yes — Shelly Theder's NPI (1366057242) is active in the NPPES registry as of the last update on 2020-09-09.

IndividualActive

Shelly Theder

NPI 1366057242 · Social Worker · Jefferson, WI

Shelly Theder is a Social Worker provider in Jefferson, WI (NPI 1366057242).

Provider details

NPI number: 1366057242
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Social WorkerPrimary104100000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(57/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1541 Annex Rd

Jefferson, WI 53549-9803

Phone: (920) 674-8700

Street-level locationGet directions

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Mailing address