Provider Demographics
NPI:1851809305
Name:SCHWARZROCK, JAN MARIE (MSW, LICSW, RPT)
Entity Type:Individual
Prefix:
First Name:JAN
Middle Name:MARIE
Last Name:SCHWARZROCK
Suffix:
Gender:F
Credentials:MSW, LICSW, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12
Mailing Address - Street 2:
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073-0012
Mailing Address - Country:US
Mailing Address - Phone:507-338-5600
Mailing Address - Fax:888-338-6234
Practice Address - Street 1:210 20TH SOUTH ST
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073-2223
Practice Address - Country:US
Practice Address - Phone:507-338-5600
Practice Address - Fax:888-338-6234
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-18
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN227821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical