MEDICARE: PAULA SCHUSTER 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	1041C0700X	Clinical Social Worker	05425	MD

General Provider Information

NPI Number	:	1174896187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA SCHUSTER MSW

Provider Business Mailing Address
First Line	:	10942 BLOOMINGDALE DR
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20852-5550
Country	:	US
Telephone Number	:	301-231-7331
Fax Number	:

Provider Business Practice Location Address
First Line	:	9811 MALLARD DR STE 209
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20708-3199
Country	:	US
Telephone Number	:	301-776-9492
Fax Number	:	301-625-0864

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

Provider Enumeration Date	:	02/22/2012
Last Update Date	:	02/22/2012

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