Provider Demographics
NPI:1205820172
Name:SCHATZ, DAWN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:
Last Name:SCHATZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 1273
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-7273
Mailing Address - Country:US
Mailing Address - Phone:302-898-1616
Mailing Address - Fax:866-596-5049
Practice Address - Street 1:11 CRAWFORD ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1116
Practice Address - Country:US
Practice Address - Phone:302-898-1616
Practice Address - Fax:866-596-5049
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ100006051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000025884Medicaid