Provider Demographics
NPI:1720172851
Name:SCHAPER, TARA LYNNE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:TARA
Middle Name:LYNNE
Last Name:SCHAPER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 FORDER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-2639
Mailing Address - Country:US
Mailing Address - Phone:314-487-4496
Mailing Address - Fax:
Practice Address - Street 1:11255 OLIVE BLVD
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-7652
Practice Address - Country:US
Practice Address - Phone:314-475-3005
Practice Address - Fax:314-475-3007
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20120212021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical