Basic Information
| Provider Information | |||||||||
| NPI: | 1447560974 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHILLING | ||||||||
| FirstName: | CATHERINE | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | LCSW | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | O'NEILL | ||||||||
| OtherFirstName: | CATHERINE | ||||||||
| OtherMiddleName: | M | ||||||||
| OtherNamePrefix: | MRS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | LCSW | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 17099 COUNTY SEAT HWY | ||||||||
| Address2: | RT.9 BOX 351 | ||||||||
| City: | GEORGETOWN | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199474865 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3028564360 | ||||||||
| FaxNumber: | 3028562504 | ||||||||
| Practice Location | |||||||||
| Address1: | 17099 COUNTY SEAT HWY | ||||||||
| Address2: | RT.9 BOX 351 | ||||||||
| City: | GEORGETOWN | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199474865 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3028564360 | ||||||||
| FaxNumber: | 3028562504 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/18/2010 | ||||||||
| LastUpdateDate: | 04/28/2022 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | |||||||||
| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | Y | ||||||||
| IsOrganizationSubpart: | |||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 04/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | Q1-0000518 | DE | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | 07543 | MD | N | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.