Provider Demographics
NPI:1043306657
Name:SCHACHTELE, DIANE T (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:T
Last Name:SCHACHTELE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 WHITESMITH DR
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-4327
Mailing Address - Country:US
Mailing Address - Phone:609-802-5812
Mailing Address - Fax:
Practice Address - Street 1:2101 WHITESMITH DR
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-4327
Practice Address - Country:US
Practice Address - Phone:609-802-5812
Practice Address - Fax:609-396-2670
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053449001041C0700X
NJ44S1053425001041C0700X
FL145851041C0700X
NCCO137811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical