MEDICARE: MRS. ELIZABETH ANN SCHWARZ MA,LPC,LCSW

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	SW002760	MO
2	101YP2500X	Professional Counselor	CS001689	MO

General Provider Information

NPI Number	:	1285059154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH ANN SCHWARZ MA,LPC,LCSW

Provider Business Mailing Address
First Line	:	2613 JOYCERIDGE DR
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-7118
Country	:	US
Telephone Number	:	314-406-7475
Fax Number	:

Provider Business Practice Location Address
First Line	:	1810 CRAIG RD STE 203
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-4761
Country	:	US
Telephone Number	:	314-406-7475
Fax Number	:

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

Provider Enumeration Date	:	02/28/2014
Last Update Date	:	03/07/2022

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