Provider Demographics
NPI:1821498866
Name:SCHMIDT, PENNY MARIE (LMSW)
Entity Type:Individual
Prefix:
First Name:PENNY
Middle Name:MARIE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:PENNY
Other - Middle Name:MARIE
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:70 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SARANAC LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12983-1537
Mailing Address - Country:US
Mailing Address - Phone:518-891-5535
Mailing Address - Fax:518-891-5851
Practice Address - Street 1:70 EDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:SARANAC LAKE
Practice Address - State:NY
Practice Address - Zip Code:12983-1537
Practice Address - Country:US
Practice Address - Phone:518-891-5535
Practice Address - Fax:518-891-5851
Is Sole Proprietor?:No
Enumeration Date:2014-08-27
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker