Provider Demographics
NPI:1457660086
Name:MASCHER, RENEE ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:ELIZABETH
Last Name:MASCHER
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 1:1678 OAK LAWN DR.
Mailing Address - Street 2:SUITE A
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301
Mailing Address - Country:US
Mailing Address - Phone:928-925-9120
Mailing Address - Fax:928-708-0120
Practice Address - Street 1:1678 OAKLAWN DR
Practice Address - Street 2:SUITE A
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-1109
Practice Address - Country:US
Practice Address - Phone:928-925-9120
Practice Address - Fax:928-708-0120
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0584166921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical