Provider Demographics
NPI:1023046273
Name:SCHNEIDER, WARREN RAY (MSW, LISW)
Entity Type:Individual
Prefix:MR
First Name:WARREN
Middle Name:RAY
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 CHRISWOOD CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-4624
Mailing Address - Country:US
Mailing Address - Phone:614-468-1231
Mailing Address - Fax:
Practice Address - Street 1:420 N JAMES RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-1834
Practice Address - Country:US
Practice Address - Phone:614-257-5972
Practice Address - Fax:614-257-5418
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI5314101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000123559OtherAETNA PROVIDER #
OH195326-000OtherMAGELLAN PROVIDER #
OH000000123559OtherANTHEM BC/BS PPO PROVIDER
OH123559OtherFEDERAL EMPLOYEE PROV #
OH163263OtherVALUE OPTIONS PROVIDER #
OH3062164OtherMCC/CIGNA BEHAVIORAL H #
OH1902-01OtherINTERACT/MT. CARMEL BEH #
OH264445OtherMHN/TRICARE/HMC #
OH000000123559OtherNATIONWIDE INS. PROVIDER
OH3062164OtherMCC/CIGNA BEHAVIORAL H #