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NPI Code Detail

MEDICARE: MRS. KAREN SUE SCHIMMEL MSW, LICSW, CCAC

MEDICARE: MRS. KAREN SUE SCHIMMEL MSW, LICSW, CCAC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor99-109WV
2101YM0800XMental Health CounselorDP00454307WV
31041C0700XClinical Social WorkerDP00454307WV
4106H00000XMarriage & Family TherapistDP00454307WV

General Provider Information

NPI Number : 1992721575
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAREN SUE SCHIMMEL MSW, LICSW, CCAC
Provider Business Mailing Address
First Line : 3 VANDALIA EST
Second Line :
City : MINERAL WELLS
State : WV
Zip : 26150-9700
Country : US
Telephone Number : 304-489-1411
Fax Number :
Provider Business Practice Location Address
First Line : 2121 7TH ST
Second Line :
City : PARKERSBURG
State : WV
Zip : 26101-3803
Country : US
Telephone Number : 304-485-1721
Fax Number : 304-485-6710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2006
Last Update Date : 09/11/2025

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