Provider Demographics
NPI:1467025940
Name:SCHWARTZ, LORRAINE (LMFT)
Entity Type:Individual
Prefix:
First Name:LORRAINE
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1724
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90213-1724
Mailing Address - Country:US
Mailing Address - Phone:310-795-8413
Mailing Address - Fax:
Practice Address - Street 1:14459 BENEFIT ST
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-4048
Practice Address - Country:US
Practice Address - Phone:310-795-8413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-21
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA126174106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist