Provider Demographics
NPI:1124201439
Name:SCHWARZ, DALE R (LMHC LICENSED MENTAL)
Entity Type:Individual
Prefix:MS
First Name:DALE
Middle Name:R
Last Name:SCHWARZ
Suffix:
Gender:F
Credentials:LMHC LICENSED MENTAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 SOUTH SILVER LANE
Mailing Address - Street 2:
Mailing Address - City:SUNDERLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01375
Mailing Address - Country:US
Mailing Address - Phone:413-665-4880
Mailing Address - Fax:
Practice Address - Street 1:13 MONTAGUE RD
Practice Address - Street 2:
Practice Address - City:LEVERETT
Practice Address - State:MA
Practice Address - Zip Code:01054
Practice Address - Country:US
Practice Address - Phone:413-548-8177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA871101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor