Provider Demographics
NPI:1134365182
Name:SCHOTT, CARMEN JEAN (LCSW, LISW)
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:JEAN
Last Name:SCHOTT
Suffix:
Gender:
Credentials:LCSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 RACHAEL CT
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:IL
Mailing Address - Zip Code:62294-4010
Mailing Address - Country:US
Mailing Address - Phone:937-956-8498
Mailing Address - Fax:618-726-2043
Practice Address - Street 1:7 EAGLE CTR STE B-1
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:IL
Practice Address - Zip Code:62269-1946
Practice Address - Country:US
Practice Address - Phone:618-982-3511
Practice Address - Fax:618-726-2043
Is Sole Proprietor?:No
Enumeration Date:2008-12-22
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0282711041C0700X
OHI 07002981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical