Provider Demographics
NPI:1689031684
Name:SCHNELZER, ELIZABETH KATHARINE HELEN (LCSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:KATHARINE HELEN
Last Name:SCHNELZER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LIZ
Other - Middle Name:
Other - Last Name:SCHNELZER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:42835 BLUESTONE CT
Mailing Address - Street 2:
Mailing Address - City:BROADLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:20148-5080
Mailing Address - Country:US
Mailing Address - Phone:571-354-0304
Mailing Address - Fax:703-552-3025
Practice Address - Street 1:43454 CROSSROADS DR
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-7778
Practice Address - Country:US
Practice Address - Phone:571-354-0304
Practice Address - Fax:703-552-3025
Is Sole Proprietor?:No
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040045641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical