Healthcare Provider Details

I. General information

NPI: 1508258484
Provider Name (Legal Business Name): SUEANN FAITH SCHWILLE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2015
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 N SHENANDOAH AVE STE 202
FRONT ROYAL VA
22630-3555
US

IV. Provider business mailing address

1514 HILLCREST DR
FRONT ROYAL VA
22630-2938
US

V. Phone/Fax

Practice location:
  • Phone: 540-252-4997
  • Fax: 540-551-3294
Mailing address:
  • Phone: 540-631-4001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904008870
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: