MEDICARE: APRIL MICHELLE SCHUETHS LCSW

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	CSW004332	GA

General Provider Information

NPI Number	:	1225234057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL MICHELLE SCHUETHS LCSW

Provider Business Mailing Address
First Line	:	114 N COLLEGE ST
Second Line	:
City	:	STATESBORO
State	:	GA
Zip	:	30458-5309
Country	:	US
Telephone Number	:	912-266-8830
Fax Number	:

Provider Business Practice Location Address
First Line	:	114 N COLLEGE ST
Second Line	:
City	:	STATESBORO
State	:	GA
Zip	:	30458-5309
Country	:	US
Telephone Number	:	912-266-8830
Fax Number	:

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

Provider Enumeration Date	:	06/27/2007
Last Update Date	:	10/07/2016

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