Healthcare Provider Details

I. General information

NPI: 1134834435
Provider Name (Legal Business Name): KAITLYN JANE SCHMITZ LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2023
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 W LAKE LANSING RD
EAST LANSING MI
48823-8527
US

IV. Provider business mailing address

330 W LAKE LANSING RD
EAST LANSING MI
48823-8527
US

V. Phone/Fax

Practice location:
  • Phone: 517-273-2706
  • Fax: 517-798-5677
Mailing address:
  • Phone: 517-273-2706
  • Fax: 517-798-5677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801119080
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: