Provider Demographics
NPI:1003168329
Name:SCHUMACHER, BETHANY JANE (LSW)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:JANE
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 TONAPAH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-3613
Mailing Address - Country:US
Mailing Address - Phone:412-607-3090
Mailing Address - Fax:
Practice Address - Street 1:2402 HOOKSTOWN GRADE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:CLINTON
Practice Address - State:PA
Practice Address - Zip Code:15026-1814
Practice Address - Country:US
Practice Address - Phone:412-203-3723
Practice Address - Fax:412-894-8606
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW125160104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker