Healthcare Provider Details

I. General information

NPI: 1730534314
Provider Name (Legal Business Name): CARRIE SCHURTZ LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 04/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 N COURT ST
WESTMINSTER MD
21157-5110
US

IV. Provider business mailing address

639 UNIONTOWN RD
WESTMINSTER MD
21158-4221
US

V. Phone/Fax

Practice location:
  • Phone: 859-519-0119
  • Fax: 410-848-5629
Mailing address:
  • Phone: 859-519-0119
  • Fax: 410-848-5629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number16949
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: