Doctor Name: | SARAH SHAFER |
NPI Number: | 1023302577 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW-S |
License Number: | I0900257 |
Business Practice Address: | 4255 Northfield Rd Highland Hills, OH - 441282811 |
Business Phone Number: | 2162929700 |
Business Fax Number: | 2163784613 |
Mailing Address: | 2025 Halstead Ave Apt 4, LAKEWOOD |
State: | OH |
Postal Code: | 441076234 |
Phone Number: | 4407251378 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2011 |
NPI Last Update Date: | 11/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I0900257 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |