Provider Demographics
NPI:1831888221
Name:SCHAVER, ZOE ELLERS (CSW)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:ELLERS
Last Name:SCHAVER
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 KINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40214-1314
Mailing Address - Country:US
Mailing Address - Phone:502-619-0746
Mailing Address - Fax:
Practice Address - Street 1:130 HOPE ST
Practice Address - Street 2:
Practice Address - City:MT WASHINGTON
Practice Address - State:KY
Practice Address - Zip Code:40047-7772
Practice Address - Country:US
Practice Address - Phone:502-619-0746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY280612106H00000X
KY2570411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist