Provider Demographics
NPI:1487817938
Name:SCHINDLER, SUSANNA MEADE (MA, MSW, LCS)
Entity Type:Individual
Prefix:MS
First Name:SUSANNA
Middle Name:MEADE
Last Name:SCHINDLER
Suffix:
Gender:F
Credentials:MA, MSW, LCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 HORSE SHOE LN
Mailing Address - Street 2:LAKEVILLE
Mailing Address - City:LAKEVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06039-2207
Mailing Address - Country:US
Mailing Address - Phone:860-435-9961
Mailing Address - Fax:
Practice Address - Street 1:14 HORSE SHOE LN
Practice Address - Street 2:LAKEVILLE
Practice Address - City:LAKEVILLE
Practice Address - State:CT
Practice Address - Zip Code:06039-2207
Practice Address - Country:US
Practice Address - Phone:860-435-9961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-04
Last Update Date:2008-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0067591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical