| Doctor Name: | MS. LIESL DAWN SCHNEIDER |
| NPI Number: | 1104801422 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSCSW, LCAC, MAC |
| License Number: | 3623 |
| Business Practice Address: | 1638 Elwell St Building 6236 Fort Carson, CO - 809134356 |
| Business Phone Number: | 7195262822 |
| Business Fax Number: | 7195262822 |
| Mailing Address: | 1638 Elwell St, Building 6236 FORT CARSON |
| State: | CO |
| Postal Code: | 809134356 |
| Phone Number: | 7195262822 |
| Fax Number: | 7195269927 |
| NPI Enumeration Date: | 12/09/2005 |
| NPI Last Update Date: | 04/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 3623 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |