Provider Demographics
NPI:1760654255
Name:SCHMAUTZ, TRESA RUTH (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:TRESA
Middle Name:RUTH
Last Name:SCHMAUTZ
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 N WASHINGTON ST
Mailing Address - Street 2:SUITE 422
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-5003
Mailing Address - Country:US
Mailing Address - Phone:509-326-1668
Mailing Address - Fax:
Practice Address - Street 1:108 N WASHINGTON ST
Practice Address - Street 2:SUITE 422
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-5003
Practice Address - Country:US
Practice Address - Phone:509-326-1668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000083631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical