Provider Demographics
NPI:1598828055
Name:SCHAPER, SHIRLEY M (MSW LCSW)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:M
Last Name:SCHAPER
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4672
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63006
Mailing Address - Country:US
Mailing Address - Phone:314-275-2500
Mailing Address - Fax:
Practice Address - Street 1:14323 S OUTER 40
Practice Address - Street 2:SUITE 607 SOUTH
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017
Practice Address - Country:US
Practice Address - Phone:314-275-2500
Practice Address - Fax:314-275-7773
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLCSW0044111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO114124OtherANTHEM BCBS