Basic Information
Provider Information
NPI: 1497904932
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHMELING
FirstName: KAREN
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: MSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 515 BAYOU ST
Address2:  
City: VINCENNES
State: IN
PostalCode: 475911034
CountryCode: US
TelephoneNumber: 8128866800
FaxNumber: 8128866809
Practice Location
Address1: 1901 WILLOW ST
Address2:  
City: VINCENNES
State: IN
PostalCode: 475914277
CountryCode: US
TelephoneNumber: 8128852720
FaxNumber: 8128852723
Other Information
ProviderEnumerationDate: 09/09/2008
LastUpdateDate: 12/02/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000X INY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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