Healthcare Provider Details

I. General information

NPI: 1609736164
Provider Name (Legal Business Name): RACHEL C SCHMALZRIEDT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 11/17/2025
Certification Date: 11/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 MARIETTA HWY
CANTON GA
30114-2327
US

IV. Provider business mailing address

225 REFORMATION PKWY STE 118
CANTON GA
30114-2914
US

V. Phone/Fax

Practice location:
  • Phone: 770-345-9535
  • Fax:
Mailing address:
  • Phone: 770-796-4618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberMSW012362
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: