MR. MICAL GUSTAVE SCHAFFER (LCSW) – Clinical Social Worker, NPI 1043571771

MR. MICAL GUSTAVE SCHAFFER (LCSW) is a healthcare provider. based in West bend, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 7873-123 (WI). The NPI Number for MR. MICAL GUSTAVE SCHAFFER (LCSW) is 1043571771

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICAL GUSTAVE SCHAFFER (LCSW)
NPI
1043571771
Phone
(262) 338-2717
Address
111 E WASHINGTON ST
Enumeration Date
29 May 2012
Last Update Date
2 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2623382717
Graduation Year
2009 (17 years ago)
PAC ID
8022359249
Group Practice PAC ID
0244124899
Professional Enrollment ID
I20190416001035
Address ID
WI530952571WE111XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,446 CLINICAL SOCIAL WORKER in WI

Provider Addresses for MR. MICAL GUSTAVE SCHAFFER (LCSW)

  • 111 E WASHINGTON ST

    WEST BEND, WI 530952571

    Phone: (262) 338-2717

    Fax: (262) 338-9767

    Type: Mailing

  • 400 W RIVER DR

    WEST BEND, WI 530901567

    Phone: (262) 338-2717

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190416001035IClinical Social WorkerWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour13213$0
View full utilization report →

Insurance plans in this area (ZIP 53095)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244124899View full group profile
NameSpecialtyState
Clinical Social WorkerWI
P S Y C H I A T R YWI
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorWI
-WI
Mental Health CounselorWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Nurse PractitionerOR

Reviews

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Frequently asked questions

Is there an official ID for MR. MICAL GUSTAVE SCHAFFER (LCSW) in U.S. healthcare records?
The official identifier for MR. MICAL GUSTAVE SCHAFFER (LCSW) is NPI 1043571771.
Is MR. MICAL GUSTAVE SCHAFFER (LCSW) shown as active in public data?
Registry records indicate MR. MICAL GUSTAVE SCHAFFER (LCSW) maintains an active NPI.
What clinical focus is listed for MR. MICAL GUSTAVE SCHAFFER (LCSW)?
At a glance, MR. MICAL GUSTAVE SCHAFFER (LCSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. MICAL GUSTAVE SCHAFFER (LCSW)?
Directory geography for MR. MICAL GUSTAVE SCHAFFER (LCSW) centers on West Bend, Wisconsin.
Does MR. MICAL GUSTAVE SCHAFFER (LCSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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