Provider Demographics
NPI:1891104253
Name:SCHEIN, LAURIE (LCSW, RPT)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:SCHEIN
Suffix:
Gender:F
Credentials:LCSW, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 S. CHIQUES RD SUITE J
Mailing Address - Street 2:
Mailing Address - City:MANHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:17545
Mailing Address - Country:US
Mailing Address - Phone:717-940-0376
Mailing Address - Fax:717-389-3370
Practice Address - Street 1:903 S CHIQUES RD STE J
Practice Address - Street 2:
Practice Address - City:MANHEIM
Practice Address - State:PA
Practice Address - Zip Code:17545-9195
Practice Address - Country:US
Practice Address - Phone:717-940-0376
Practice Address - Fax:717-389-3370
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-10
Last Update Date:2020-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW129366104100000X
PACW0191891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103234991Medicaid
PA003153522OtherHIGHMARK
PA50142743OtherCAPITOL BLUE CROSS