Provider Demographics
NPI:1114669868
Name:SCHWEITZER, PATRESA (LMSW)
Entity Type:Individual
Prefix:
First Name:PATRESA
Middle Name:
Last Name:SCHWEITZER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5340 PLYMOUTH RD STE 110
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9558
Mailing Address - Country:US
Mailing Address - Phone:734-335-4747
Mailing Address - Fax:
Practice Address - Street 1:5340 PLYMOUTH RD STE 110
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9558
Practice Address - Country:US
Practice Address - Phone:734-335-4747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-12
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6851106955104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker