Provider Demographics
NPI:1669866380
Name:SCHWARTZ, HELENE DARA (MSW, RCSWI)
Entity Type:Individual
Prefix:MISS
First Name:HELENE
Middle Name:DARA
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MSW, RCSWI
Other - Prefix:
Other - First Name:HELENE
Other - Middle Name:DARA
Other - Last Name:RUSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, RCSWI
Mailing Address - Street 1:510 VONDERBURG DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5954
Mailing Address - Country:US
Mailing Address - Phone:813-881-1000
Mailing Address - Fax:813-689-2684
Practice Address - Street 1:510 VONDERBURG DR
Practice Address - Street 2:SUITE 301
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5954
Practice Address - Country:US
Practice Address - Phone:813-881-1000
Practice Address - Fax:813-689-2684
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW 92731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical