Provider Demographics
NPI:1346373032
Name:SCHAAL, MICHAEL PETER I (MSW)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:PETER
Last Name:SCHAAL
Suffix:I
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 DUBOIS DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-7641
Mailing Address - Country:US
Mailing Address - Phone:802-658-9590
Mailing Address - Fax:802-859-9590
Practice Address - Street 1:2 CHURCH ST
Practice Address - Street 2:SUITE NUMBER 2D
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-4299
Practice Address - Country:US
Practice Address - Phone:802-658-9590
Practice Address - Fax:802-859-9590
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT08900000631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical