Provider Demographics
NPI:1750712592
Name:SCHNEIDER, CAROLINE (MSW)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:
Other - Last Name:THIBODEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:66 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-3506
Mailing Address - Country:US
Mailing Address - Phone:603-270-9181
Mailing Address - Fax:
Practice Address - Street 1:66 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-3506
Practice Address - Country:US
Practice Address - Phone:603-270-9181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-04
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1750712592Medicaid