Healthcare Provider Details

I. General information

NPI: 1841113024
Provider Name (Legal Business Name): MARC D. SCHMINKEY LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1324 GRAHAM AVE STE 1
WINDBER PA
15963-1708
US

IV. Provider business mailing address

214 W SAMPLE ST APT 2
EBENSBURG PA
15931-1558
US

V. Phone/Fax

Practice location:
  • Phone: 304-381-4831
  • Fax:
Mailing address:
  • Phone: 814-289-9893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberSW142249
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: