Provider Demographics
NPI:1902813785
Name:SCHMITT, HOLLY H (MSW,LCSW)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:H
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1918 MERIWETHER DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-5204
Mailing Address - Country:US
Mailing Address - Phone:636-239-8585
Mailing Address - Fax:636-239-8553
Practice Address - Street 1:851 E 5TH ST STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-3129
Practice Address - Country:US
Practice Address - Phone:636-239-8585
Practice Address - Fax:636-239-8553
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0025101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOPENDINGMedicare ID - Type Unspecified