Look up the most recent NPI and PECOS records

Dale Allen Schneider

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as DALE SCHNEIDER.

Based on the most recent information from CMS, provider Dale Allen Schneider is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1386770741
Provider Type
Individual
Full Name
Schneider, Dale Allen
Credential
LCSW

Gender
Male
Sole Proprietor
No
Enumeration Date
2/27/2007
Last Updated
7/8/2007

Contact Information

Practice Location

1675 Curlew Dr., Ammon, ID 83406

(208) 529-4300

(208) 529-1627

Mailing Location

7419 S 25th E, Idaho Falls, ID 83404-7760

(208) 528-7232

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LCSW-26743 Idaho

Dale Allen Schneider

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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