Provider Demographics
NPI:1265725154
Name:SCHAEFER, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SCHAEFER
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 1:2100 CAMPUS DR SE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-4831
Mailing Address - Country:US
Mailing Address - Phone:507-328-6308
Mailing Address - Fax:507-328-6237
Practice Address - Street 1:2100 CAMPUS DR SE
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-4831
Practice Address - Country:US
Practice Address - Phone:507-328-6308
Practice Address - Fax:507-328-6237
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN155221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical