Provider Demographics
NPI:1417361353
Name:SCHEIER, JODY (MSW LICSW BCD)
Entity Type:Individual
Prefix:
First Name:JODY
Middle Name:
Last Name:SCHEIER
Suffix:
Gender:F
Credentials:MSW LICSW BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 IRVINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WABAN
Mailing Address - State:MA
Mailing Address - Zip Code:02468-1905
Mailing Address - Country:US
Mailing Address - Phone:617-332-5417
Mailing Address - Fax:
Practice Address - Street 1:19 IRVINGTON ST
Practice Address - Street 2:
Practice Address - City:WABAN
Practice Address - State:MA
Practice Address - Zip Code:02468-1905
Practice Address - Country:US
Practice Address - Phone:617-332-5417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101564101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health