Basic Information
| Provider Information | |||||||||
| NPI: | 1720172851 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHAPER | ||||||||
| FirstName: | TARA | ||||||||
| MiddleName: | LYNNE | ||||||||
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| Credential: | MSW, LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 441 FORDER RD | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631292639 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3144874496 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 11255 OLIVE BLVD | ||||||||
| Address2: | |||||||||
| City: | CREVE COEUR | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631417652 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3144753005 | ||||||||
| FaxNumber: | 3144753007 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2006 | ||||||||
| LastUpdateDate: | 01/16/2013 | ||||||||
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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 | 1041C0700X | 2012021202 | MO | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.