Provider Demographics
NPI:1427146612
Name:SCHEDDEL, SUZANNE REED (LCSW-C, CADAC)
Entity type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:REED
Last Name:SCHEDDEL
Suffix:
Gender:F
Credentials:LCSW-C, CADAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8416 SNOWDEN OAKS PL
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-2302
Mailing Address - Country:US
Mailing Address - Phone:240-857-8957
Mailing Address - Fax:240-857-5699
Practice Address - Street 1:1050 W PERIMETER RD
Practice Address - Street 2:STE A4
Practice Address - City:ANDREWS AFB
Practice Address - State:MD
Practice Address - Zip Code:20762-6601
Practice Address - Country:US
Practice Address - Phone:240-857-8957
Practice Address - Fax:240-857-5699
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD072511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical