Provider Demographics
NPI:1679764708
Name:SCHNEDLER, JACQUELINE JEAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:JEAN
Last Name:SCHNEDLER
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 1:1402 MAIN ST NW STE B122
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-4810
Mailing Address - Country:US
Mailing Address - Phone:505-916-1622
Mailing Address - Fax:
Practice Address - Street 1:1402 MAIN ST NW STE B122
Practice Address - Street 2:
Practice Address - City:LOS LUNAS
Practice Address - State:NM
Practice Address - Zip Code:87031-4810
Practice Address - Country:US
Practice Address - Phone:505-916-1622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-11463104100000X, 1041C0700X
AR6754-C1041C0700X
4238104171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator