Provider Demographics
NPI:1144503061
Name:SCHROEDER, SARAH KRISTEN (MSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:KRISTEN
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 HOLMES ST W
Mailing Address - Street 2:SUITE 302
Mailing Address - City:DETROIT LAKES
Mailing Address - State:MN
Mailing Address - Zip Code:56501-3023
Mailing Address - Country:US
Mailing Address - Phone:218-847-0629
Mailing Address - Fax:218-846-1285
Practice Address - Street 1:211 HOLMES ST W
Practice Address - Street 2:SUITE 302
Practice Address - City:DETROIT LAKES
Practice Address - State:MN
Practice Address - Zip Code:56501-3023
Practice Address - Country:US
Practice Address - Phone:218-847-0629
Practice Address - Fax:218-846-1285
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN19687104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker