Healthcare Provider Details

I. General information

NPI: 1043702178
Provider Name (Legal Business Name): MS. EMMA REDA SCHUTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMMA ISABELLE REDA LCSW

II. Dates (important events)

Enumeration Date: 06/04/2018
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21125 CENTRE POINTE PKWY
SANTA CLARITA CA
91350-2994
US

IV. Provider business mailing address

3533 N HORNET AVE
FRESNO CA
93737-9580
US

V. Phone/Fax

Practice location:
  • Phone: 855-435-3801
  • Fax:
Mailing address:
  • Phone: 559-760-7687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number112970
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number137096
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: