Provider Demographics
NPI:1740206713
Name:SCHRAGER, TAMMI SUZANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:TAMMI
Middle Name:SUZANNE
Last Name:SCHRAGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TAMMI
Other - Middle Name:
Other - Last Name:SCHRAGER-BOZDAG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:205 E UNIVERSITY AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-6814
Mailing Address - Country:US
Mailing Address - Phone:877-800-5722
Mailing Address - Fax:512-869-2940
Practice Address - Street 1:1221 W BEN WHITE BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-7192
Practice Address - Country:US
Practice Address - Phone:877-800-5722
Practice Address - Fax:512-804-5319
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX400201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3208779-01Medicaid
TX40020OtherLICENSE
TX3208779-01Medicaid