MEDICARE: JUDITH ANN SCHWARTZ 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	1015707	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578536280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH ANN SCHWARTZ LICSW

Provider Business Mailing Address
First Line	:	472 BEDFORD ST
Second Line	:
City	:	CONCORD
State	:	MA
Zip	:	01742-1855
Country	:	US
Telephone Number	:	978-692-5070
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 WALDEN ST
Second Line	:
City	:	CONCORD
State	:	MA
Zip	:	01742-2533
Country	:	US
Telephone Number	:	978-692-5070
Fax Number	:

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

Provider Enumeration Date	:	02/12/2006
Last Update Date	:	03/23/2022

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