Provider Demographics
NPI:1194760892
Name:SCHILLER, CYNTHIA S (LCSW, ACSW)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:S
Last Name:SCHILLER
Suffix:
Gender:F
Credentials:LCSW, ACSW
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:S
Other - Last Name:SCHILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, ACSW
Mailing Address - Street 1:950 PORT CIR
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:IN
Mailing Address - Zip Code:46342-4100
Mailing Address - Country:US
Mailing Address - Phone:219-378-8222
Mailing Address - Fax:219-945-0247
Practice Address - Street 1:416 E 86TH AVE
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6211
Practice Address - Country:US
Practice Address - Phone:219-378-8222
Practice Address - Fax:219-945-0247
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34001979A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN253720AMedicare PIN
IN253720Medicare PIN