Provider Demographics
NPI:1942562087
Name:SCHAEFERMEYER, ROSANNE BASSETT (LCSW)
Entity Type:Individual
Prefix:
First Name:ROSANNE
Middle Name:BASSETT
Last Name:SCHAEFERMEYER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4055 S 700 E STE 101D
Mailing Address - Street 2:
Mailing Address - City:MILLCREEK
Mailing Address - State:UT
Mailing Address - Zip Code:84107-2508
Mailing Address - Country:US
Mailing Address - Phone:801-203-0128
Mailing Address - Fax:
Practice Address - Street 1:4055 S 700 E STE 101D
Practice Address - Street 2:
Practice Address - City:MILLCREEK
Practice Address - State:UT
Practice Address - Zip Code:84107-2508
Practice Address - Country:US
Practice Address - Phone:801-203-0128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-14
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT826115235011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical