Provider Demographics
NPI:1861838120
Name:SCHATZEL, JOHN FRANCIS (LICSW)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:FRANCIS
Last Name:SCHATZEL
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:JAKE
Other - Middle Name:FRANCIS
Other - Last Name:SCHATZEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW
Mailing Address - Street 1:9 MOON ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-1033
Mailing Address - Country:US
Mailing Address - Phone:617-657-9483
Mailing Address - Fax:
Practice Address - Street 1:21 TOTMAN ST STE 203
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-7564
Practice Address - Country:US
Practice Address - Phone:617-657-9483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1203591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS400386238Medicaid