Provider Demographics
NPI:1154463750
Name:SCHMITZ, VALERIE R (LCSW)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:R
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 MANCHESTER CT
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5497
Mailing Address - Country:US
Mailing Address - Phone:732-530-2906
Mailing Address - Fax:732-530-2906
Practice Address - Street 1:78 MANCHESTER CT
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5497
Practice Address - Country:US
Practice Address - Phone:732-530-2906
Practice Address - Fax:732-530-2906
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC01114000101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ029052U75Medicare UPIN