Provider Demographics
NPI:1821668526
Name:SCHWARZMUELLER, MOLLY BETH (LCSW)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:BETH
Last Name:SCHWARZMUELLER
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 1:1106 FLAGLER LN
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-4803
Mailing Address - Country:US
Mailing Address - Phone:310-403-8051
Mailing Address - Fax:
Practice Address - Street 1:1106 FLAGLER LN
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-4803
Practice Address - Country:US
Practice Address - Phone:310-403-8051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA211691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical