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NPI Code Detail

MEDICARE: LISA RENEE SCHULTZ LMSW, CSW-I, CADC

MEDICARE:   LISA RENEE SCHULTZ  LMSW, CSW-I, CADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor00634-CNV
21041C0700XClinical Social WorkerIC-1964NV

General Provider Information

NPI Number : 1043732571
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA RENEE SCHULTZ LMSW, CSW-I, CADC
Provider Business Mailing Address
First Line : 6125 CHIMNEY DR
Second Line :
City : SUN VALLEY
State : NV
Zip : 89433-6810
Country : US
Telephone Number : 775-378-7768
Fax Number :
Provider Business Practice Location Address
First Line : 975 ROBERTA LN STE 104
Second Line :
City : SPARKS
State : NV
Zip : 89431-6812
Country : US
Telephone Number : 775-525-1616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2017
Last Update Date : 06/03/2022

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Directions to “ LISA RENEE SCHULTZ LMSW, CSW-I, CADC” Practice Location

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