Provider Demographics
NPI:1730359209
Name:SCHINDHELM, JULIE MARIE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:MARIE
Last Name:SCHINDHELM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:JULIE
Other - Middle Name:MARIE
Other - Last Name:PROVIDENT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2944 W LIBERTY AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-2526
Mailing Address - Country:US
Mailing Address - Phone:412-996-6747
Mailing Address - Fax:
Practice Address - Street 1:2944 W LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15216-2526
Practice Address - Country:US
Practice Address - Phone:412-996-6747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW123375104100000X
PACW016637208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No104100000XBehavioral Health & Social Service ProvidersSocial Worker