Provider Demographics
NPI:1548536824
Name:SCHREINER, MARILYN SUE (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:SUE
Last Name:SCHREINER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 ELIZABETH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-4602
Mailing Address - Country:US
Mailing Address - Phone:707-673-2379
Mailing Address - Fax:707-673-2379
Practice Address - Street 1:190 S ORCHARD AVE
Practice Address - Street 2:STE C230
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-3657
Practice Address - Country:US
Practice Address - Phone:707-673-2379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 279711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical