Provider Demographics
NPI:1184794794
Name:SCHWARTZ, ALLAN N (MSW, PHD)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:N
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2968 HAWK CT
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-9056
Mailing Address - Country:US
Mailing Address - Phone:720-470-2028
Mailing Address - Fax:
Practice Address - Street 1:2968 HAWK CT
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-9056
Practice Address - Country:US
Practice Address - Phone:720-470-2028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO550618Medicare ID - Type UnspecifiedLCSW