Healthcare Provider Details

I. General information

NPI: 1083810014
Provider Name (Legal Business Name): ELIZABETH SCHWOCH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH PARDO

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USAG HOHENFELS CMR 414 BOX 2353
APO AE
09173
US

IV. Provider business mailing address

CMR 414 BOX 2353
APO AE
09173
US

V. Phone/Fax

Practice location:
  • Phone: 480-525-0284
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number11749
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12964
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: