Healthcare Provider Details

I. General information

NPI: 1205446523
Provider Name (Legal Business Name): RACHEL SCHAFER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2020
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 WOODLAND DR
SIX LAKES MI
48886-8720
US

IV. Provider business mailing address

141 WOODLAND DR
SIX LAKES MI
48886-8720
US

V. Phone/Fax

Practice location:
  • Phone: 616-902-4028
  • Fax:
Mailing address:
  • Phone: 512-827-8610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: