Provider Demographics
NPI:1134295652
Name:SEMAS-SCHNEEWEIS, RENE KENDALL (LCSW)
Entity Type:Individual
Prefix:MR
First Name:RENE
Middle Name:KENDALL
Last Name:SEMAS-SCHNEEWEIS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-2625
Mailing Address - Country:US
Mailing Address - Phone:508-697-6489
Mailing Address - Fax:
Practice Address - Street 1:294 PLEASANT ST
Practice Address - Street 2:SUITE 205
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-2571
Practice Address - Country:US
Practice Address - Phone:781-341-2252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA212410104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker