Shayna Yedra-Schaefer

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-06002 Issued in NM

Legal business name

SHAYNA YEDRA-SCHAEFER

Practice address

1717 Wilmoore Dr SE
Albuquerque, NM 87106-4128

Phone

(505) 720-7702

NPI assigned

May 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Shayna Lee Schaefer, LISWNPI 1700974847

Title

Clinical Social Worker

Phone

(505) 720-7702

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shayna Lee Schaefer, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1700974847
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1164637161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 WILMOORE DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064128",
            "telephone_number": "505-720-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 WILMOORE DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064128",
            "telephone_number": "505-720-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAYNA YEDRA-SCHAEFER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-12",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "SHAYNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "505-720-7702",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE",
            "identifier": "10021694",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73726851",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micah Shaw, PA-C
• Rachelle L Shaw, DDS PC
• Shawn'S Enterprises
• Shawne a Blackburn LPCC Counseling LLC
• Lindsey Miran Shay, RDH, BS
• Tanya Shearer, BSW
• Dallas R Sheckler, PA
• Megan M Shedd, MD
• Nara Shedd, LMT 5917
• Elyce Tryon Sheehan, MD

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.