Provider Demographics
NPI:1669658142
Name:SCHEWE, MARY ROLFES (LCSW/LISW)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ROLFES
Last Name:SCHEWE
Suffix:
Gender:F
Credentials:LCSW/LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2530 SANDCREST BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-3047
Mailing Address - Country:US
Mailing Address - Phone:812-372-3177
Mailing Address - Fax:812-372-3692
Practice Address - Street 1:985 N MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:IN
Practice Address - Zip Code:47240-1487
Practice Address - Country:US
Practice Address - Phone:812-222-0455
Practice Address - Fax:812-222-0455
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34004907A1041C0700X
OHI00076651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN144010JMedicare PIN