Provider Demographics
NPI:1558036202
Name:SCHREIBER, ROBERT DREW (LSWAIC, MSW)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:DREW
Last Name:SCHREIBER
Suffix:
Gender:
Credentials:LSWAIC, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 ABBOT ST
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4403
Mailing Address - Country:US
Mailing Address - Phone:509-727-5862
Mailing Address - Fax:
Practice Address - Street 1:317 ABBOT ST
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4403
Practice Address - Country:US
Practice Address - Phone:509-727-5862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-14
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
WASC613587101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WACG61206547OtherDEPARTMENT OF HEALTH CREDENTIAL NUMBER