Healthcare Provider Details

I. General information

NPI: 1851165005
Provider Name (Legal Business Name): LAUREN ELIZABETH GRACE SCHULTZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2023
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 DAMONTE RANCH PKWY STE 735
RENO NV
89521-3964
US

IV. Provider business mailing address

500 DAMONTE RANCH PKWY STE 735
RENO NV
89521-3964
US

V. Phone/Fax

Practice location:
  • Phone: 775-453-0765
  • Fax:
Mailing address:
  • Phone: 602-741-3077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13369-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: