Provider Demographics
NPI:1154867406
Name:SCHAUER, NANCY ANN (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:SCHAUER
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2019 HOGANS ISLAND DR NW
Mailing Address - Street 2:
Mailing Address - City:BACKUS
Mailing Address - State:MN
Mailing Address - Zip Code:56435-2288
Mailing Address - Country:US
Mailing Address - Phone:218-820-8515
Mailing Address - Fax:
Practice Address - Street 1:823 MAPLE STREET
Practice Address - Street 2:NORTHERN PINE MENTAL HEALTH CENTER
Practice Address - City:BRAINERD
Practice Address - State:MN
Practice Address - Zip Code:56401
Practice Address - Country:US
Practice Address - Phone:218-587-8303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-10
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN223301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical