Provider Demographics
NPI:1740217546
Name:SCHATTEN, GAIL C (LCSW, MSW)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:C
Last Name:SCHATTEN
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9060 VILLAGE VIEW LOOP
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95135-2175
Mailing Address - Country:US
Mailing Address - Phone:408-238-3899
Mailing Address - Fax:408-238-3899
Practice Address - Street 1:1061 EL MONTE AVE
Practice Address - Street 2:
Practice Address - City:MT VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2320
Practice Address - Country:US
Practice Address - Phone:408-238-2033
Practice Address - Fax:408-238-3899
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS76441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALCS 7644OtherSTATE LICENSE
CAZZZ420892Medicare ID - Type Unspecified