Provider Demographics
NPI:1194112847
Name:SCHROETER, MARY (LCSW)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:SCHROETER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:ANDERSON
Other - Last Name:SCHROETER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:7800 S ELATI ST
Mailing Address - Street 2:STE 319
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4400
Mailing Address - Country:US
Mailing Address - Phone:303-883-7271
Mailing Address - Fax:303-973-2696
Practice Address - Street 1:7800 S ELATI ST
Practice Address - Street 2:STE 319
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4400
Practice Address - Country:US
Practice Address - Phone:303-883-7271
Practice Address - Fax:303-973-2696
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-21
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099243381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical