MEDICARE: MS. KAREN ('KATE') MADLYN SCHWARTZ-FRATES LCSW, LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCS21555	CA

General Provider Information

NPI Number	:	1205921392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN ('KATE') MADLYN SCHWARTZ-FRATES LCSW, LICSW

Provider Business Mailing Address
First Line	:	16776 BERNARDO CENTER DR
Second Line	:	SUITE 203
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-2534
Country	:	US
Telephone Number	:	760-685-0602
Fax Number	:	858-487-1044

Provider Business Practice Location Address
First Line	:	16776 BERNARDO CENTER DR
Second Line	:	SUITE 203
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-2534
Country	:	US
Telephone Number	:	760-685-0602
Fax Number	:	858-487-1044

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	09/07/2016

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