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General NPI Number Information
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NPI Number | 1679764708
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Entity Type | Individual
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Provider Name | JACQUELINE JEAN SCHNEDLER LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 428 COURTHOUSE RD SE
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City | LOS LUNAS
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State | NM
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Zip | 87031-9246
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Country | US
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Telephone | 505-916-1622
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Fax |
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Provider Business Mailing Address
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Address Line | 1402 MAIN ST NW STE B122
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City | LOS LUNAS
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State | NM
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Zip | 87031-4810
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Country | US
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Telephone | 505-916-1622
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6754-C
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | C-11463
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C-11463
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 4238104
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License Number State |
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