Provider Demographics
NPI:1770685224
Name:SCHOMAKER, ELAINE INGHAM (LCSW,LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:INGHAM
Last Name:SCHOMAKER
Suffix:
Gender:F
Credentials:LCSW,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2665 HOLLY AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-6504
Mailing Address - Country:US
Mailing Address - Phone:559-292-0701
Mailing Address - Fax:559-448-4950
Practice Address - Street 1:2665 HOLLY AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-6504
Practice Address - Country:US
Practice Address - Phone:559-292-0701
Practice Address - Fax:559-448-4950
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 124791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical