MEDICARE: CAROL ANNE SCHICK PHD

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	I.0008757	OH

General Provider Information

NPI Number	:	1184567505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL ANNE SCHICK PHD

Provider Business Mailing Address
First Line	:	501 W TEXAS AVE
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65202-3106
Country	:	US
Telephone Number	:	573-808-4228
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 W TEXAS AVE
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65202-3106
Country	:	US
Telephone Number	:	573-808-4228
Fax Number	:

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

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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