MEDICARE: TAMMI SUZANNE SCHRAGER LCSW

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	1041C0700X	Clinical Social Worker	40020	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	40020	OTHER	TX	LICENSE

General Provider Information

NPI Number	:	1740206713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMI SUZANNE SCHRAGER LCSW

Provider Business Mailing Address
First Line	:	11904 JOHNNY WEISMULLER LN UNIT 2
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-2949
Country	:	US
Telephone Number	:	512-202-0374
Fax Number	:

Provider Business Practice Location Address
First Line	:	11904 JOHNNY WEISMULLER LN UNIT 2
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-2949
Country	:	US
Telephone Number	:	512-202-0374
Fax Number	:

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	05/29/2026

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