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NPI Code Detail

MEDICARE: CASSIDY JO SCHROEDER MSW, LICSWA

MEDICARE: CASSIDY JO SCHROEDER MSW, LICSWA
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
1104100000XSocial WorkerSC61563487WA

General Provider Information

NPI Number : 1114645645
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIDY JO SCHROEDER MSW, LICSWA
Provider Business Mailing Address
First Line : 4526 FEDERAL AVE
Second Line :
City : EVERETT
State : WA
Zip : 98203-2132
Country : US
Telephone Number : 425-349-6200
Fax Number :
Provider Business Practice Location Address
First Line : 4526 FEDERAL AVE
Second Line :
City : EVERETT
State : WA
Zip : 98203-2132
Country : US
Telephone Number : 425-349-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2022
Last Update Date : 03/05/2026

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