Provider Demographics
NPI:1922524750
Name:SCHAFER, RENEE JEWELL (LLMSW)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:JEWELL
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 TURNER STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906
Mailing Address - Country:US
Mailing Address - Phone:517-574-4197
Mailing Address - Fax:517-484-1771
Practice Address - Street 1:1310 TURNER ST STE A
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-4373
Practice Address - Country:US
Practice Address - Phone:517-574-4197
Practice Address - Fax:517-484-1771
Is Sole Proprietor?:No
Enumeration Date:2017-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011016371041C0700X
6801101637104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical