Provider Demographics
NPI:1669711768
Name:SCHNITZKE, SHAWNA (MSW)
Entity type:Individual
Prefix:
First Name:SHAWNA
Middle Name:
Last Name:SCHNITZKE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 HARTFORD TPKE
Mailing Address - Street 2:SUITE 1.4, BOTTOM FLOOR
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-5242
Mailing Address - Country:US
Mailing Address - Phone:860-817-8618
Mailing Address - Fax:
Practice Address - Street 1:49 HARTFORD TPKE
Practice Address - Street 2:SUITE 1.4, BOTTOM FLOOR
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-5242
Practice Address - Country:US
Practice Address - Phone:860-817-8618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-08
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical