Provider Demographics
NPI:1194918862
Name:SCHAFFER, LAURIE KAY (MSW LCSW)
Entity type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:KAY
Last Name:SCHAFFER
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:MS
Other - First Name:LAKSHMI
Other - Middle Name:
Other - Last Name:DEVI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:18119 SW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-4349
Mailing Address - Country:US
Mailing Address - Phone:954-441-1562
Mailing Address - Fax:954-450-9532
Practice Address - Street 1:18119 SW 3RD ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-4349
Practice Address - Country:US
Practice Address - Phone:954-441-1562
Practice Address - Fax:954-450-9532
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW4390101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health