Provider Demographics
NPI:1427207190
Name:SCHNORE, FAIREN MAY BEIDLER (LCSW)
Entity Type:Individual
Prefix:MS
First Name:FAIREN
Middle Name:MAY BEIDLER
Last Name:SCHNORE
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 1:421 E LAKESIDE AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-2848
Mailing Address - Country:US
Mailing Address - Phone:208-717-1447
Mailing Address - Fax:208-665-6313
Practice Address - Street 1:421 E LAKESIDE AVE STE 107
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-2848
Practice Address - Country:US
Practice Address - Phone:208-717-1447
Practice Address - Fax:208-665-6313
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2019-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW316981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical