Provider Demographics
NPI:1043863756
Name:SCHAIRER, LAUREN MARY (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:MARY
Last Name:SCHAIRER
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:MARY
Other - Last Name:SERECI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2904 LYNDALE AVE S APT 428
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-4889
Mailing Address - Country:US
Mailing Address - Phone:617-335-9528
Mailing Address - Fax:
Practice Address - Street 1:2970 JUDICIAL RD STE 100
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-7822
Practice Address - Country:US
Practice Address - Phone:617-335-9528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN275931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty