Provider Demographics
NPI:1629626551
Name:SCHAFER, AMELIA (LLMSW)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:AMELIA
Other - Middle Name:
Other - Last Name:SCHON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:220 LEASIA ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48895-1422
Mailing Address - Country:US
Mailing Address - Phone:517-604-0291
Mailing Address - Fax:
Practice Address - Street 1:1701 LAKE LANSING RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-3798
Practice Address - Country:US
Practice Address - Phone:810-494-7180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011048621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical