MEDICARE: ROSANNE BASSETT SCHAEFERMEYER 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	82611523501	UT

General Provider Information

NPI Number	:	1942562087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSANNE BASSETT SCHAEFERMEYER LCSW

Provider Business Mailing Address
First Line	:	4055 S 700 E STE 101D
Second Line	:
City	:	MILLCREEK
State	:	UT
Zip	:	84107-2508
Country	:	US
Telephone Number	:	801-203-0128
Fax Number	:

Provider Business Practice Location Address
First Line	:	4055 S 700 E STE 101D
Second Line	:
City	:	MILLCREEK
State	:	UT
Zip	:	84107-2508
Country	:	US
Telephone Number	:	801-203-0128
Fax Number	:

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

Provider Enumeration Date	:	06/14/2012
Last Update Date	:	10/23/2020

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