Provider Demographics
NPI:1982366944
Name:SCHAEFER, MARY LUCY
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:LUCY
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:LUTHERAN SOCIAL SERVICES
Mailing Address - Street 2:727 8TH STREET LOWER LEVEL
Mailing Address - City:BARABOO
Mailing Address - State:WI
Mailing Address - Zip Code:53913
Mailing Address - Country:US
Mailing Address - Phone:608-402-3357
Mailing Address - Fax:
Practice Address - Street 1:LUTHERAN SOCIAL SERVICES
Practice Address - Street 2:727 8TH STREET LOWER LEVEL
Practice Address - City:BARABOO
Practice Address - State:WI
Practice Address - Zip Code:53913
Practice Address - Country:US
Practice Address - Phone:608-402-3357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator