Healthcare Provider Details

I. General information

NPI: 1154917946
Provider Name (Legal Business Name): LINDA ANN SCHOONOVER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2020
Last Update Date: 12/26/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2628 S MILFORD RD
HIGHLAND MI
48357-4938
US

IV. Provider business mailing address

2532 24 MILE RD
SHELBY TOWNSHIP MI
48316-2762
US

V. Phone/Fax

Practice location:
  • Phone: 517-882-3732
  • Fax: 517-882-3633
Mailing address:
  • Phone: 586-817-0464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801034787
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: