Provider Demographics
NPI:1275078149
Name:SCHMITZ, DIANA JEAN (LMSW, LSW)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:JEAN
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:LMSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9132 KONA PEAKS CT UNIT 103
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-2938
Mailing Address - Country:US
Mailing Address - Phone:480-516-7339
Mailing Address - Fax:
Practice Address - Street 1:2360 N HORIZON RIDGE PARKWAY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:CLARK COUNTY
Practice Address - Zip Code:89052
Practice Address - Country:UM
Practice Address - Phone:702-294-0433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7368S1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical