Provider Demographics
NPI:1003665571
Name:SCHWARTZ, DANIEL IAN (MFT/MHC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:IAN
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MFT/MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 SE 2ND AVE STE 550
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-1601
Mailing Address - Country:US
Mailing Address - Phone:212-818-1900
Mailing Address - Fax:
Practice Address - Street 1:1499 W PALMETTO PARK RD STE 212
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-3322
Practice Address - Country:US
Practice Address - Phone:212-818-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH25802101YM0800X
FLIMT4142106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health