Healthcare Provider Details

I. General information

NPI: 1770205940
Provider Name (Legal Business Name): ANNA MONROE SCHAUER LICSW-PIP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2022
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 JOHNSTON ST SE STE 100
DECATUR AL
35601-2515
US

IV. Provider business mailing address

251 JOHNSTON ST SE STE 100
DECATUR AL
35601-2515
US

V. Phone/Fax

Practice location:
  • Phone: 256-822-2375
  • Fax:
Mailing address:
  • Phone: 256-822-2375
  • Fax: 256-584-2330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2465C-1441
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: