Provider Demographics
NPI:1568784171
Name:SCHULTZ, PAIGE KILOHIWAI (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:KILOHIWAI
Last Name:SCHULTZ
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 1:741 CHANDELLE RD
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-7731
Mailing Address - Country:US
Mailing Address - Phone:720-660-5877
Mailing Address - Fax:
Practice Address - Street 1:1001 S PERRY ST
Practice Address - Street 2:SUITE 113
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-2668
Practice Address - Country:US
Practice Address - Phone:720-660-5877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500783951041C0700X
MD157301041C0700X
COCSW099232721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical