Provider Demographics
NPI:1003100876
Name:SCHACHER, CATHERINE ELAINE (LICSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ELAINE
Last Name:SCHACHER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ELAINE
Other - Last Name:TODD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3417 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-2019
Mailing Address - Country:US
Mailing Address - Phone:612-813-6138
Mailing Address - Fax:
Practice Address - Street 1:2525 CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4518
Practice Address - Country:US
Practice Address - Phone:612-813-6138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN142991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical