Healthcare Provider Details

I. General information

NPI: 1841272382
Provider Name (Legal Business Name): KATHARINE J SCHAIBLE MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 28037 BOX PSC
APO AE
09112-8037
US

IV. Provider business mailing address

UNIT 28037 BOX PSC
APO AE
09112-8037
US

V. Phone/Fax

Practice location:
  • Phone: 314-590-3248
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC004055
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15827
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: