Provider Demographics
NPI:1750863684
Name:SCHEIBEL, JANE T (LICSW)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:T
Last Name:SCHEIBEL
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 1:176 MANTHORNE RD APT 1
Mailing Address - Street 2:
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-1329
Mailing Address - Country:US
Mailing Address - Phone:617-504-9152
Mailing Address - Fax:
Practice Address - Street 1:176 MANTHORNE RD APT 1
Practice Address - Street 2:
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-1329
Practice Address - Country:US
Practice Address - Phone:617-504-9152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101890104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker