Provider Demographics
NPI:1063855880
Name:SCHNAUBER, JONATHAN (DSW, MSW, LCSW)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:
Last Name:SCHNAUBER
Suffix:
Gender:M
Credentials:DSW, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-4129
Mailing Address - Country:US
Mailing Address - Phone:413-687-1406
Mailing Address - Fax:
Practice Address - Street 1:1320 CHURCH ST
Practice Address - Street 2:
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247-4129
Practice Address - Country:US
Practice Address - Phone:413-687-1406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-11
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 1041C0700X
MA218980104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical