Provider Demographics
NPI:1053655696
Name:SCHOUWEILER, JOSEY RENEE (LCSW)
Entity Type:Individual
Prefix:
First Name:JOSEY
Middle Name:RENEE
Last Name:SCHOUWEILER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 WASHINGTON SQ
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61571-2657
Mailing Address - Country:US
Mailing Address - Phone:309-481-5177
Mailing Address - Fax:800-773-1682
Practice Address - Street 1:128 WASHINGTON SQ
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IL
Practice Address - Zip Code:61571-2657
Practice Address - Country:US
Practice Address - Phone:309-481-5177
Practice Address - Fax:800-773-1682
Is Sole Proprietor?:No
Enumeration Date:2012-11-20
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0169141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical