Provider Demographics
NPI:1497896187
Name:SCHONER, CONSTANCE (MSW)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:
Last Name:SCHONER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 E LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-3467
Mailing Address - Country:US
Mailing Address - Phone:248-583-4048
Mailing Address - Fax:
Practice Address - Street 1:27115 GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-2900
Practice Address - Country:US
Practice Address - Phone:586-776-7000
Practice Address - Fax:586-776-2310
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801002358104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker