Provider Demographics
NPI:1629389945
Name:SCHATZ, EDITH BROOKS (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:EDITH
Middle Name:BROOKS
Last Name:SCHATZ
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 DORSEY HALL DR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7791
Mailing Address - Country:US
Mailing Address - Phone:703-801-0041
Mailing Address - Fax:
Practice Address - Street 1:5300 DORSEY HALL DR STE 203
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-7818
Practice Address - Country:US
Practice Address - Phone:703-801-0041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500788011041C0700X
VA09040071781041C0700X
MD204311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical