Provider Demographics
NPI:1891869913
Name:SCHMITZ, MARGARET P (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:P
Last Name:SCHMITZ
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 1:15 HIGHLAND VW
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92603-3704
Mailing Address - Country:US
Mailing Address - Phone:949-451-4597
Mailing Address - Fax:
Practice Address - Street 1:2212 DUPONT DR STE I
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-1551
Practice Address - Country:US
Practice Address - Phone:949-451-4597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS166011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical