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NPI Code Detail

MEDICARE: MRS. ELLEN SCHAFFER KATHREN LICSW

MEDICARE: MRS. ELLEN SCHAFFER KATHREN LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
21041C0700XClinical Social WorkerWA
3104100000XSocial WorkerLW60807784WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023281227
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELLEN SCHAFFER KATHREN LICSW
Provider Business Mailing Address
First Line : 10505 W CLEARWATER AVE
Second Line :
City : KENNEWICK
State : WA
Zip : 99336-8613
Country : US
Telephone Number : 509-378-5553
Fax Number :
Provider Business Practice Location Address
First Line : 10505 W CLEARWATER AVE
Second Line :
City : KENNEWICK
State : WA
Zip : 99336-8613
Country : US
Telephone Number : 509-378-5553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2008
Last Update Date : 06/30/2025

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