Provider Demographics
NPI:1013358209
Name:SCHABEL, SARA A (LMSW)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:A
Last Name:SCHABEL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:A
Other - Last Name:MELICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:178 E BEARD RD
Mailing Address - Street 2:
Mailing Address - City:MUNGER
Mailing Address - State:MI
Mailing Address - Zip Code:48747-9795
Mailing Address - Country:US
Mailing Address - Phone:899-859-5583
Mailing Address - Fax:
Practice Address - Street 1:509 CENTER AVE STE 100
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-5974
Practice Address - Country:US
Practice Address - Phone:989-859-5583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801095583104100000X
68011041131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker