| David M Schaffer Msw Licsw Pllc | |
|
3705 Emerson Ave Parkersburg WV 26104-1118 | |
| (304) 865-0272 | |
| (304) 865-0265 |
| Full Name | David M Schaffer Msw Licsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3705 Emerson Ave, Parkersburg, West Virginia |
| Authorized Official Name and Position | David M Schaffer (SOICIAL WORKER CLINICAL) |
| Authorized Official Contact | 3048650274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David M Schaffer Msw Licsw Pllc 3705 Emerson Ave Parkersburg WV 26104-1118 Ph: (304) 865-0272 | David M Schaffer Msw Licsw Pllc 3705 Emerson Ave Parkersburg WV 26104-1118 Ph: (304) 865-0272 |
| NPI Number | 1457621203 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 01/19/2012 |
| Medicare PECOS PAC ID | 0042477481 |
|---|---|
| Medicare Enrollment ID | O20120213000729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457621203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | DP00940211 (West Virginia) | Primary |
| Provider Name | David M Schaffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437115151 PECOS PAC ID: 5698729754 Enrollment ID: I20050310001009 |
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