Provider Demographics
NPI:1083830061
Name:SCHWARTZ, JUDITH ELLEN (MSW)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:ELLEN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6216 CHELTON DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-2431
Mailing Address - Country:US
Mailing Address - Phone:510-530-2496
Mailing Address - Fax:510-336-1260
Practice Address - Street 1:20200 REDWOOD RD
Practice Address - Street 2:SUITE 3
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-4312
Practice Address - Country:US
Practice Address - Phone:510-336-1260
Practice Address - Fax:510-336-1260
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 95761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical