Provider Demographics
NPI:1932895430
Name:SCHWABA PSYCHOTHERAPY, INC.
Entity Type:Organization
Organization Name:SCHWABA PSYCHOTHERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:LAUREN NIEPSUJ
Authorized Official - Last Name:SCHWABA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW CADC
Authorized Official - Phone:773-234-1509
Mailing Address - Street 1:222 S PROSPECT AVE # 324
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-4037
Mailing Address - Country:US
Mailing Address - Phone:773-234-1509
Mailing Address - Fax:
Practice Address - Street 1:222 S PROSPECT AVE # 324
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-4037
Practice Address - Country:US
Practice Address - Phone:773-234-1509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty