Provider Demographics
NPI:1184312456
Name:MASHELL A. SCHELL, LCSW, PLLC
Entity type:Organization
Organization Name:MASHELL A. SCHELL, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MASHELL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:585-616-3366
Mailing Address - Street 1:8351 LEWISTON ROAD
Mailing Address - Street 2:SUITE 3, PMB# 317
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-4074
Mailing Address - Country:US
Mailing Address - Phone:585-616-3366
Mailing Address - Fax:
Practice Address - Street 1:420 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569-9347
Practice Address - Country:US
Practice Address - Phone:585-616-3366
Practice Address - Fax:585-757-2463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2024-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty