Provider Demographics
NPI:1982772794
Name:SCHUELER, TABITHA L (LISW)
Entity type:Individual
Prefix:
First Name:TABITHA
Middle Name:L
Last Name:SCHUELER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 N CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HAMPTON
Mailing Address - State:IA
Mailing Address - Zip Code:50659-1349
Mailing Address - Country:US
Mailing Address - Phone:641-229-5002
Mailing Address - Fax:641-843-7284
Practice Address - Street 1:26 N CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:NEW HAMPTON
Practice Address - State:IA
Practice Address - Zip Code:50659-1349
Practice Address - Country:US
Practice Address - Phone:641-229-5002
Practice Address - Fax:641-843-7284
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA063971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAAPPLIEDMedicaid
IAAPPLIEDMedicaid