Healthcare Provider Details

I. General information

NPI: 1609226372
Provider Name (Legal Business Name): SAMANTHA EDEN SCHAEFER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2016
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 GREGORY LN STE B102
PLEASANT HILL CA
94523-3389
US

IV. Provider business mailing address

200 GREGORY LN
PLEASANT HILL CA
94523-3353
US

V. Phone/Fax

Practice location:
  • Phone: 925-317-1620
  • Fax:
Mailing address:
  • Phone: 925-317-1620
  • Fax: 925-357-8039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number95356
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: