Provider Demographics
NPI:1053305607
Name:SCHMITZ, JENNIFER ANNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ANNE
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:ANNE
Other - Last Name:HETTEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:EVANS ARMY MEDICAL CENTER
Mailing Address - Street 2:BLDG 7490 E SUTHERLAND CIR & PROVIDE COMFORT DR
Mailing Address - City:FORT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-9500
Mailing Address - Country:US
Mailing Address - Phone:719-526-5815
Mailing Address - Fax:719-524-2258
Practice Address - Street 1:EVANS ARMY MEDICAL CENTER
Practice Address - Street 2:BLDG 7490 E SUTHERLAND CIR & PROVIDE COMFORT DR
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-9500
Practice Address - Country:US
Practice Address - Phone:719-526-5815
Practice Address - Fax:719-524-2258
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL27351041C0700X
OR27351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical