Healthcare Provider Details

I. General information

NPI: 1538283593
Provider Name (Legal Business Name): LINDA ANN SCHNEIDER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDA LEEDY SCHNEIDER LMSW

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 RAYBROOK ST SE #202
GRAND RAPIDS MI
49546-7717
US

IV. Provider business mailing address

3520 REEDS HILL CT SE
GRAND RAPIDS MI
49546-8329
US

V. Phone/Fax

Practice location:
  • Phone: 616-285-6777
  • Fax: 616-285-6063
Mailing address:
  • Phone: 616-942-7129
  • Fax: 616-285-6063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801081546
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: