Provider Demographics
NPI:1508904913
Name:SCHWEIZER, DOREEN GAIL (MSW LICSW)
Entity Type:Individual
Prefix:MS
First Name:DOREEN
Middle Name:GAIL
Last Name:SCHWEIZER
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 GREEN STREET
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766
Mailing Address - Country:US
Mailing Address - Phone:603-448-1706
Mailing Address - Fax:
Practice Address - Street 1:303 ROUTE 5 SOUTH
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:VT
Practice Address - Zip Code:05055
Practice Address - Country:US
Practice Address - Phone:802-649-1908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT08900005571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTSCHW28987OtherMAGELLAN VT BCBS
7949416OtherAETNA LIFE INS
7949416OtherAETNA LIFE INS