Provider Demographics
NPI:1598836223
Name:SCHUMACHER, ELIZABETH (LICSW)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-2418
Mailing Address - Country:US
Mailing Address - Phone:781-944-2595
Mailing Address - Fax:
Practice Address - Street 1:324 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-1329
Practice Address - Country:US
Practice Address - Phone:978-664-2566
Practice Address - Fax:978-664-8023
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10167061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA043114833-02OtherPACIFICARE BEHAVIORAL HEA
MA101670OtherTUFTS HEALTH PLAN
MA2107128OtherCIGNA BEHAVIORAL HEALTH
MAP07512OtherBCBS FEDERAL
MA101670OtherTUFTS BENEFIT ADMINISTRAT
MAP07512OtherMEDEX
MAP07512OtherBCBS OF MA
MA1897888Medicaid
MA002863OtherVALUE OPTIONS
MAP07512OtherBCBS FEDERAL