Provider Demographics
NPI:1760417653
Name:SCHUMACHER, MADELINE CORINNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MADELINE
Middle Name:CORINNE
Last Name:SCHUMACHER
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 1:4105 E. BROADWAY AVE.
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-1574
Mailing Address - Country:US
Mailing Address - Phone:562-987-3335
Mailing Address - Fax:562-930-1095
Practice Address - Street 1:4105 E BROADWAY
Practice Address - Street 2:SUITE 201
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-1574
Practice Address - Country:US
Practice Address - Phone:562-987-3335
Practice Address - Fax:562-930-1095
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS102481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASWL10248Medicare ID - Type Unspecified