Individual
ROBERTA COOK SCHUMACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA SOCIAL WORKER
Contact information
Practice address
804 TAYLOR SCHOOL RD, BRIDGEPORT, WV 26330-7495
(304) 695-0981
Mailing address
804 TAYLOR SCHOOL RD, BRIDGEPORT, WV 26330-7495
(304) 695-0981
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AP00940832
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3737
SOCIAL WORKER
—
05
—
3737
—
WA
05
—
6950981
—
WV
Enumeration date
07/10/2020
Last updated
07/10/2020
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