Provider Demographics
NPI:1205921392
Name:SCHWARTZ-FRATES, KAREN ('KATE') MADLYN (LCSW, LICSW)
Entity type:Individual
Prefix:MS
First Name:KAREN ('KATE')
Middle Name:MADLYN
Last Name:SCHWARTZ-FRATES
Suffix:
Gender:F
Credentials:LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16776 BERNARDO CENTER DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2534
Mailing Address - Country:US
Mailing Address - Phone:760-685-0602
Mailing Address - Fax:858-487-1044
Practice Address - Street 1:16776 BERNARDO CENTER DR
Practice Address - Street 2:SUITE 203
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2534
Practice Address - Country:US
Practice Address - Phone:760-685-0602
Practice Address - Fax:858-487-1044
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS215551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP05190Medicare ID - Type Unspecified