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NPI Code Detail

MEDICARE: LAURA H SCHWARTZ LCSW

MEDICARE: LAURA H SCHWARTZ 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
11041C0700XClinical Social Worker
21041C0700XClinical Social WorkerLCS18166CA

General Provider Information

NPI Number : 1568974566
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA H SCHWARTZ LCSW
Provider Business Mailing Address
First Line : 15 PIZARRO AVE
Second Line :
City : NOVATO
State : CA
Zip : 94949-6141
Country : US
Telephone Number : 415-215-4385
Fax Number :
Provider Business Practice Location Address
First Line : 15 AUSTIN AVE
Second Line :
City : SAN ANSELMO
State : CA
Zip : 94960-2924
Country : US
Telephone Number : 415-388-4824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2017
Last Update Date : 10/30/2017

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Directions to “ LAURA H SCHWARTZ LCSW” Practice Location

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