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

Shelly Marie Theder

Individual provider Social Worker · NPI 1366057242

Shelly Marie Theder is a Social Worker in Jefferson, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

1541 Annex Rd
Jefferson, WI 53549-9803
Phone: (920) 674-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1366057242
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 9, 2020
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020

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