Provider Demographics
NPI:1114646262
Name:SCHUMACHER, GAYLE HANSEN (LCMSW)
Entity Type:Individual
Prefix:
First Name:GAYLE
Middle Name:HANSEN
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:LCMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:985 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-5434
Mailing Address - Country:US
Mailing Address - Phone:617-934-3851
Mailing Address - Fax:
Practice Address - Street 1:985 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-5434
Practice Address - Country:US
Practice Address - Phone:617-934-3851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2282331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical