Healthcare Provider Details

I. General information

NPI: 1346576212
Provider Name (Legal Business Name): SHERYL SCHULTZ MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2009
Last Update Date: 10/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 W MOANA LN STE 100
RENO NV
89509-4940
US

IV. Provider business mailing address

10479 SOMERSET DR
TRUCKEE CA
96161-1225
US

V. Phone/Fax

Practice location:
  • Phone: 775-334-3033
  • Fax: 775-334-3022
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number5209-S
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: