Healthcare Provider Details

I. General information

NPI: 1932049319
Provider Name (Legal Business Name): MARY JOHANNA SCHWARTZ LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 INDEPENDENCE ST
CAPE GIRARDEAU MO
63703-5043
US

IV. Provider business mailing address

PO BOX 100
POCAHONTAS MO
63779-0100
US

V. Phone/Fax

Practice location:
  • Phone: 573-335-1281
  • Fax: 636-333-4510
Mailing address:
  • Phone: 573-260-2600
  • Fax: 636-333-4510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2026012279
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: