Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Sandra Marie Shaffer, LCSW, CSAC, ICS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1427228436

MS. Sandra Marie Shaffer, LCSW, CSAC, ICS is a Clinical Social Worker in Oshkosh, Wisconsin. Qualified in 2001, 25 years ago. Practices as a sole proprietor, works from 3 locations and offers telehealth. Licensed in Wisconsin.

Years since qualifying
25
Licensed in
WI
In the registry since
2008
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3475 Omro Rd Ste 400
Oshkosh, WI 54904-7126
Phone: (920) 203-7565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3240 Jackson St, Oshkosh, WI 54901 — (920) 231-0143
  • 303 Watson St Ste D, Ripon, WI 54971-1516 — (920) 203-7565

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8484-123 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 15806-132 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 8484-123 (WI)

Record details

NPI number1427228436
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CSAC , ICS
Sole proprietorYes
NPI enumeratedMarch 5, 2008
Last updated in NPPESJanuary 7, 2021
Certification dateJanuary 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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