Provider Demographics
NPI:1356662514
Name:SCHAMEL, MONICA LEE (LCSW)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:LEE
Last Name:SCHAMEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 EAST 10TH ST
Mailing Address - Street 2:CHILDPLACE
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130
Mailing Address - Country:US
Mailing Address - Phone:812-282-8248
Mailing Address - Fax:812-282-3291
Practice Address - Street 1:2420 EAST 10TH ST
Practice Address - Street 2:CHILDPLACE
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130
Practice Address - Country:US
Practice Address - Phone:812-282-8248
Practice Address - Fax:812-282-3291
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34003876A104100000X
KY917104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker