Provider Demographics
NPI:1780948398
Name:SCHUSTER, JOELLE MARIE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JOELLE
Middle Name:MARIE
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:JOELLE
Other - Middle Name:MARIE
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:3217 SANDERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-8671
Mailing Address - Country:US
Mailing Address - Phone:585-469-9653
Mailing Address - Fax:
Practice Address - Street 1:2400 GREATSTONE PT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3274
Practice Address - Country:US
Practice Address - Phone:859-323-6211
Practice Address - Fax:859-257-7706
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2555821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical