Provider Demographics
NPI:1366675233
Name:SCHROTT, SARAH P (LCSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:P
Last Name:SCHROTT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2066 NW IRVING ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-1200
Mailing Address - Country:US
Mailing Address - Phone:503-939-7966
Mailing Address - Fax:
Practice Address - Street 1:2066 NW IRVING ST
Practice Address - Street 2:SUITE 2
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-1200
Practice Address - Country:US
Practice Address - Phone:503-939-7966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL25901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical