Provider Demographics
NPI:1508258484
Name:SCHWILLE, SUEANN FAITH (LCSW)
Entity Type:Individual
Prefix:
First Name:SUEANN
Middle Name:FAITH
Last Name:SCHWILLE
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 1:1514 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-2938
Mailing Address - Country:US
Mailing Address - Phone:540-631-4001
Mailing Address - Fax:
Practice Address - Street 1:920 N SHENANDOAH AVE STE 202
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-3555
Practice Address - Country:US
Practice Address - Phone:540-252-4997
Practice Address - Fax:540-551-3294
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-02
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040088701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical