Ann Schaefer, LCSW
Individual provider Active NPI Clinical Social Worker · Cove, OR
NPI 1306607791 · NPPES record last updated Jan 22, 2024
Key facts
- NPI
- 1306607791
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- L11647 (OR)
- Practice address
- 69708 Squire Loop
Cove, OR 97824-8228 - Phone
- (541) 910-0365
- NPI assigned
- Jan 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L11647 | OR | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L11647 | OR | Yes |
Addresses
Primary practice location
69708 Squire Loop
Cove, OR 97824-8228
Mailing address
69708 Squire Loop
Cove, OR 97824-8228
Phone (541) 910-0365
Other providers in Cove, OR
- Kenneth Walter Brookshire
- Laurel Christine Cox
- Steven Joel Devore
- William G Runyon
- Union County School District #15
All providers in Cove, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.