Provider Demographics
NPI:1013465665
Name:SCHWARTZ, KELSEY
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14811 NORMANDE DR
Mailing Address - Street 2:
Mailing Address - City:MEAD
Mailing Address - State:CO
Mailing Address - Zip Code:80542-4094
Mailing Address - Country:US
Mailing Address - Phone:720-519-7331
Mailing Address - Fax:303-432-5071
Practice Address - Street 1:14811 NORMANDE DR
Practice Address - Street 2:
Practice Address - City:MEAD
Practice Address - State:CO
Practice Address - Zip Code:80542-4094
Practice Address - Country:US
Practice Address - Phone:720-519-7331
Practice Address - Fax:303-432-5071
Is Sole Proprietor?:No
Enumeration Date:2016-09-12
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical