Basic Information
| Provider Information | |||||||||
| NPI: | 1124153747 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHNAITTER | ||||||||
| FirstName: | SARA | ||||||||
| MiddleName: | ALEXANDRA | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8711 MACARTHUR BLVD | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946054000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5104283556 | ||||||||
| FaxNumber: | 5106322576 | ||||||||
| Practice Location | |||||||||
| Address1: | 8711 MACARTHUR BLVD | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5104283556 | ||||||||
| FaxNumber: | 5106322576 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/22/2007 | ||||||||
| LastUpdateDate: | 08/01/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 104100000X | 30191 | CA | N | Behavioral Health & Social Service Providers | Social Worker | 1041C0700X | 69343 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical | 101YM0800X | 30191 | CA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.