Healthcare Provider Details

I. General information

NPI: 1023073079
Provider Name (Legal Business Name): SUSAN MARIE ALDERMAN-SCHAEFER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WEED ARMY COMMUNITY HOSPITAL BUILDING 170 MARY E. WALKER CLINIC
FT. IRWIN CA
92310
US

IV. Provider business mailing address

310 AVENUE B
BARSTOW CA
92311-2604
US

V. Phone/Fax

Practice location:
  • Phone: 760-380-5038
  • Fax: 760-380-5038
Mailing address:
  • Phone: 760-380-5038
  • Fax: 760-380-6469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLISAC0937
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-11550
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: