Provider Demographics
NPI:1770704793
Name:SCHERTLER, DAYNA EDWARDS (LCSW)
Entity type:Individual
Prefix:
First Name:DAYNA
Middle Name:EDWARDS
Last Name:SCHERTLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 WALLACE BLVD
Mailing Address - Street 2:106
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1708
Mailing Address - Country:US
Mailing Address - Phone:806-354-5620
Mailing Address - Fax:
Practice Address - Street 1:1400 WALLACE BLVD
Practice Address - Street 2:106
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1708
Practice Address - Country:US
Practice Address - Phone:806-354-5620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX219031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX186077701Medicaid
NM47629231Medicaid
TX186077703Medicaid
OK200270630 AMedicaid
TX186077703Medicaid
OK200270630 AMedicaid