Provider Demographics
NPI:1942323969
Name:SCHEID, MICHAEL R (LCSW)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:R
Last Name:SCHEID
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 COBBLER CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60554-9133
Mailing Address - Country:US
Mailing Address - Phone:630-466-8461
Mailing Address - Fax:
Practice Address - Street 1:611 E STATE ST STE 108
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2300
Practice Address - Country:US
Practice Address - Phone:630-232-2181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical