Provider Demographics
NPI:1689468910
Name:SCHUPBACH, GAIL DIANE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:DIANE
Last Name:SCHUPBACH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108 MARSTOGA DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-1294
Mailing Address - Country:US
Mailing Address - Phone:517-282-7510
Mailing Address - Fax:
Practice Address - Street 1:2108 MARSTOGA DR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-1294
Practice Address - Country:US
Practice Address - Phone:517-282-7510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool