MEDICARE: COLETTE THERESE SCHEUERMANN MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	149003493	IL
2	101YM0800X	Mental Health Counselor	SW13074	FL

General Provider Information

NPI Number	:	1063560100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLETTE THERESE SCHEUERMANN MSW

Provider Business Mailing Address
First Line	:	8047 TAUREN CT
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-7718
Country	:	US
Telephone Number	:	847-359-7917
Fax Number	:	847-359-7917

Provider Business Practice Location Address
First Line	:	8047 TAUREN CT
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-7718
Country	:	US
Telephone Number	:	847-359-7917
Fax Number	:	847-359-7917

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	08/26/2020

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