Provider Demographics
NPI:1881423846
Name:SCHNEIDER, EMILY LINDEN (LSWAIC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:LINDEN
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6410 BEVERLY LN APT D
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-4364
Mailing Address - Country:US
Mailing Address - Phone:907-399-8141
Mailing Address - Fax:
Practice Address - Street 1:2319 N 45TH ST STE 303
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6979
Practice Address - Country:US
Practice Address - Phone:188-840-4776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC615777261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical