Provider Demographics
NPI:1972224996
Name:SCHNELLE, ISABELLE LYNNE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ISABELLE
Middle Name:LYNNE
Last Name:SCHNELLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1032 LITHIA WAY
Mailing Address - Street 2:
Mailing Address - City:TALENT
Mailing Address - State:OR
Mailing Address - Zip Code:97540-7846
Mailing Address - Country:US
Mailing Address - Phone:616-901-2749
Mailing Address - Fax:
Practice Address - Street 1:1032 LITHIA WAY
Practice Address - Street 2:
Practice Address - City:TALENT
Practice Address - State:OR
Practice Address - Zip Code:97540-7846
Practice Address - Country:US
Practice Address - Phone:616-901-2749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL111051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical