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NPI Code Detail

MEDICARE: GEOFFREY SCHAEFER LCSW

MEDICARE: GEOFFREY SCHAEFER 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
11041C0700XClinical Social Worker2012020097MO

General Provider Information

NPI Number : 1740630748
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEOFFREY SCHAEFER LCSW
Provider Business Mailing Address
First Line : 4121 UNION RD STE 225
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63129-1093
Country : US
Telephone Number : 573-837-2106
Fax Number : 314-499-1224
Provider Business Practice Location Address
First Line : 4121 UNION RD STE 225
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63129-1093
Country : US
Telephone Number : 573-837-2106
Fax Number : 314-499-1224
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2016
Last Update Date : 06/13/2024

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Directions to “ GEOFFREY SCHAEFER LCSW” Practice Location

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