MEDICARE: JENNIFER ANNE SCHROEDER LCSW

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
1	1041C0700X	Clinical Social Worker	1804	CO

General Provider Information

NPI Number	:	1659033447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ANNE SCHROEDER LCSW

Provider Business Mailing Address
First Line	:	870 S COLORADO BLVD # 1014
Second Line	:
City	:	GLENDALE
State	:	CO
Zip	:	80246-2080
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	870 S COLORADO BLVD # 1014
Second Line	:
City	:	GLENDALE
State	:	CO
Zip	:	80246-2080
Country	:	US
Telephone Number	:	303-895-1651
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/08/2021
Last Update Date	:	10/08/2021

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