1154696441 NPI number — JENNIFER SCHOO LCSW-C, LLC

Table of content: (NPI 1154696441)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154696441 NPI number — JENNIFER SCHOO LCSW-C, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JENNIFER SCHOO LCSW-C, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154696441
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/31/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6588 STREAMWOOD CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SYKESVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21784-8221
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-220-7697
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8165 CYPRUS CEDAR LN STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELLICOTT CITY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21043-5565
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-220-7697
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/20/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SCHOO
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
410-220-7697

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  14991 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)