Provider Demographics
NPI:1013753649
Name:SCHODER, CASANDRA
Entity type:Individual
Prefix:MRS
First Name:CASANDRA
Middle Name:
Last Name:SCHODER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 HOOK WALTZ RD W
Mailing Address - Street 2:
Mailing Address - City:ELIDA
Mailing Address - State:OH
Mailing Address - Zip Code:45807-9580
Mailing Address - Country:US
Mailing Address - Phone:567-204-7048
Mailing Address - Fax:
Practice Address - Street 1:909 HOOK WALTZ RD W
Practice Address - Street 2:
Practice Address - City:ELIDA
Practice Address - State:OH
Practice Address - Zip Code:45807-9580
Practice Address - Country:US
Practice Address - Phone:567-204-7048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker