Provider Demographics
NPI:1730950239
Name:SCHAFFER, KRYSTIANA MARIE (LCSW, LICSW)
Entity type:Individual
Prefix:MS
First Name:KRYSTIANA
Middle Name:MARIE
Last Name:SCHAFFER
Suffix:
Gender:F
Credentials:LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 GREENTREE DR STE 103
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-7620
Mailing Address - Country:US
Mailing Address - Phone:302-433-6145
Mailing Address - Fax:
Practice Address - Street 1:160 GREENTREE DR STE 103
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-7620
Practice Address - Country:US
Practice Address - Phone:302-433-6145
Practice Address - Fax:302-310-4993
Is Sole Proprietor?:No
Enumeration Date:2024-01-12
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00128051041C0700X
MALICSW1277381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical