Provider Demographics
NPI:1922505049
Name:SCHRAGER, SAMUEL K (LICSW)
Entity Type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:K
Last Name:SCHRAGER
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 NORTH ST
Mailing Address - Street 2:SUITE 405, MAILBOX #14
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-5128
Mailing Address - Country:US
Mailing Address - Phone:413-356-1606
Mailing Address - Fax:
Practice Address - Street 1:100 NORTH STREET
Practice Address - Street 2:SUITE 405, MAILBOX #14
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-5128
Practice Address - Country:US
Practice Address - Phone:413-356-1606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-06
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1240071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical