Provider Demographics
NPI:1114014016
Name:SCHUCHMAN, GINA RACHEL (MSW)
Entity Type:Individual
Prefix:MS
First Name:GINA
Middle Name:RACHEL
Last Name:SCHUCHMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4640 W 77TH ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4908
Mailing Address - Country:US
Mailing Address - Phone:952-835-1616
Mailing Address - Fax:952-835-6182
Practice Address - Street 1:4640 W 77TH ST
Practice Address - Street 2:SUITE 205
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4908
Practice Address - Country:US
Practice Address - Phone:952-835-1616
Practice Address - Fax:952-835-6182
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN007781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical