Provider Demographics
NPI:1710010749
Name:SCHNEIDERHAN, HEIDI (LMSW, CAADC, ADS)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:SCHNEIDERHAN
Suffix:
Gender:F
Credentials:LMSW, CAADC, ADS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 CHIPPEWA SQ STE 11
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-4814
Mailing Address - Country:US
Mailing Address - Phone:906-373-9591
Mailing Address - Fax:906-356-3410
Practice Address - Street 1:708 CHIPPEWA SQ STE 11
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4814
Practice Address - Country:US
Practice Address - Phone:906-373-9591
Practice Address - Fax:906-356-3410
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010630421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI8008972040OtherBCBS PIN