Provider Demographics
NPI:1316297419
Name:SCHOBER, KATHLEEN R (LCSW)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:R
Last Name:SCHOBER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:REED
Other - Last Name:TYLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:56 DANBURY RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-3415
Mailing Address - Country:US
Mailing Address - Phone:203-586-6327
Mailing Address - Fax:203-264-6865
Practice Address - Street 1:56 DANBURY RD
Practice Address - Street 2:SUITE 9
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-3415
Practice Address - Country:US
Practice Address - Phone:203-586-6327
Practice Address - Fax:203-264-6865
Is Sole Proprietor?:No
Enumeration Date:2012-09-15
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0076671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical