Provider Demographics
NPI:1548425077
Name:SCHUITMAKER, ZOE GENE (MA, LMSW, LMFT)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:GENE
Last Name:SCHUITMAKER
Suffix:
Gender:F
Credentials:MA, LMSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 W MICHIGAN AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:PAW PAW
Mailing Address - State:MI
Mailing Address - Zip Code:49079-1432
Mailing Address - Country:US
Mailing Address - Phone:269-657-2880
Mailing Address - Fax:269-657-2120
Practice Address - Street 1:181 W MICHIGAN AVE STE 2
Practice Address - Street 2:
Practice Address - City:PAW PAW
Practice Address - State:MI
Practice Address - Zip Code:49079-1432
Practice Address - Country:US
Practice Address - Phone:269-657-2880
Practice Address - Fax:269-657-2120
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801009038172V00000X
MI4101005210172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI8008966580OtherBLUE CROSS/BLUE SHIELD
MIP75843OtherBLUE CARE NETWORK
MI5556747OtherAETNA
MI11806OtherCOMMUNITY CHOICE
MI122808OtherGREAT LAKES