Provider Demographics
NPI:1942952825
Name:SCHWARZ, KEVIN LOUIS-FISHER (LCSW-C)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:LOUIS-FISHER
Last Name:SCHWARZ
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10101 GROSVENOR PL APT 1608
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4678
Mailing Address - Country:US
Mailing Address - Phone:240-205-5391
Mailing Address - Fax:
Practice Address - Street 1:12326 OLD CANAL RD
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-6238
Practice Address - Country:US
Practice Address - Phone:657-531-0034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-22
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD234681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical