Provider Demographics
NPI:1699079871
Name:SCHAFER, KRISTI LYNN (MSW, LSW)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:LYNN
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2280 E CALVADA BLVD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-5873
Mailing Address - Country:US
Mailing Address - Phone:775-727-8497
Mailing Address - Fax:775-727-7072
Practice Address - Street 1:2280 E CALVADA BLVD
Practice Address - Street 2:SUITE 302
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-5873
Practice Address - Country:US
Practice Address - Phone:775-727-8497
Practice Address - Fax:775-727-7072
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-03
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6112-S104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker