Basic Information
| Provider Information | |||||||||
| NPI: | 1992721575 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHIMMEL | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | SUE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MSW, LICSW, CCAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 VANDALIA EST | ||||||||
| Address2: | |||||||||
| City: | MINERAL WELLS | ||||||||
| State: | WV | ||||||||
| PostalCode: | 261509700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3044891411 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2121 7TH ST | ||||||||
| Address2: | |||||||||
| City: | PARKERSBURG | ||||||||
| State: | WV | ||||||||
| PostalCode: | 261013803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3044851721 | ||||||||
| FaxNumber: | 3044856710 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/15/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 99-109 | WV | X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YM0800X | DP00454307 | WV | X | Behavioral Health & Social Service Providers | Counselor | Mental Health | 1041C0700X | DP00454307 | WV | X | Behavioral Health & Social Service Providers | Social Worker | Clinical | 106H00000X | DP00454307 | WV | X | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.