Provider Demographics
NPI:1407664030
Name:SCHRAER, JENNIE MARIE (LICSW)
Entity type:Individual
Prefix:
First Name:JENNIE
Middle Name:MARIE
Last Name:SCHRAER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20330 NE 38TH ST
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-4312
Mailing Address - Country:US
Mailing Address - Phone:858-205-5570
Mailing Address - Fax:
Practice Address - Street 1:20330 NE 38TH ST
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98074-4312
Practice Address - Country:US
Practice Address - Phone:858-205-5570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW615504871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical