Provider Demographics
NPI:1700530649
Name:SCHROEDER, ELIZABETH (LMSW, LCSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:LMSW, LCSW
Other - Prefix:
Other - First Name:LIZ
Other - Middle Name:
Other - Last Name:SCHROEDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13120 PIEDMONT CT
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-4706
Mailing Address - Country:US
Mailing Address - Phone:314-443-7377
Mailing Address - Fax:
Practice Address - Street 1:13120 PIEDMONT CT
Practice Address - Street 2:
Practice Address - City:MARYLAND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63043-4706
Practice Address - Country:US
Practice Address - Phone:314-443-7377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20220016661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical