Provider Demographics
NPI:1487028510
Name:SCHAAFSMA, PATRICK (LMSW)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:SCHAAFSMA
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17251 HIDDEN TREASURE DR
Mailing Address - Street 2:
Mailing Address - City:WEST OLIVE
Mailing Address - State:MI
Mailing Address - Zip Code:49460-9515
Mailing Address - Country:US
Mailing Address - Phone:616-634-9509
Mailing Address - Fax:
Practice Address - Street 1:17251 HIDDEN TREASURE DR
Practice Address - Street 2:
Practice Address - City:WEST OLIVE
Practice Address - State:MI
Practice Address - Zip Code:49460-9515
Practice Address - Country:US
Practice Address - Phone:616-239-2502
Practice Address - Fax:616-369-5779
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY105520104100000X
MI6801098375171M00000X, 104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator