National Provider Identifier
Diane Marie Schafer, LCSW-R
Diane Marie Schafer, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 279-2921.
Profile Overview
- NPI
- 1386822443
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 31, 2008
- Last Updated
- June 19, 2018
Practice Location
- 213 N Aurora St
- Ithaca, NY 14850
Phone: (607) 279-2921
Mailing Address
- 213 N Aurora St
- Ithaca, NY 14850-4360
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1386822443
- Entity Type
- Individual
- Last Name
- Schafer
- First Name
- Diane
- Middle Name
- Marie
- Credential
- LCSW-R
- Mailing Street Address
- 213 N Aurora St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4360
- Mailing Country
- US
- Mailing Phone
- (607) 279-2921
- Practice Street Address
- 213 N Aurora St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 279-2921
- Enumeration Date
- January 31, 2008
- Last Updated
- June 19, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 01079267 (NY)