MEDICARE: SARA A SCHABEL LMSW

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	104100000X	Social Worker	6801095583	MI
2	1041C0700X	Clinical Social Worker	6801104113

General Provider Information

NPI Number	:	1013358209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA A SCHABEL LMSW

Provider Business Mailing Address
First Line	:	178 E BEARD RD
Second Line	:
City	:	MUNGER
State	:	MI
Zip	:	48747-9795
Country	:	US
Telephone Number	:	899-859-5583
Fax Number	:

Provider Business Practice Location Address
First Line	:	509 CENTER AVE STE 100
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-5974
Country	:	US
Telephone Number	:	989-859-5583
Fax Number	:

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

Provider Enumeration Date	:	07/16/2013
Last Update Date	:	02/02/2024

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