Provider Demographics
NPI:1740206713
Name:SCHRAGER, TAMMI SUZANNE (LCSW)
Entity type:Individual
Prefix:
First Name:TAMMI
Middle Name:SUZANNE
Last Name:SCHRAGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TAMMI
Other - Middle Name:S
Other - Last Name:SCHRAGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:542 AMHERST ST STE B
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1016
Mailing Address - Country:US
Mailing Address - Phone:877-776-7109
Mailing Address - Fax:
Practice Address - Street 1:3724 EXECUTIVE CENTER DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1646
Practice Address - Country:US
Practice Address - Phone:877-776-7109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX400201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3208779-01Medicaid
TX40020OtherLICENSE
TX3208779-01Medicaid