Individual
MS. ALICE R SCHUMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
770 SAYBROOK ROAD, BUILDING B, MIDDLETOWN, CT 06457
(860) 343-6646
(860) 343-5391
Mailing address
770 SAYBROOK ROAD, BUILDING B, MIDDLETOWN, CT 06457
(860) 343-6646
(860) 343-5391
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CT000539
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079582
MHN
—
01
—
108550
VALUE OPTIONS
—
01
—
140000539CT01
BCBS
—
01
—
4264803
AETNA
—
01
—
P2743627
OXFORD
—
Enumeration date
10/11/2006
Last updated
07/08/2007
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