Provider Demographics
NPI:1770077620
Name:SCHMITT, DEBRA KAY (LCSW)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:KAY
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 N 12TH AVE
Mailing Address - Street 2:STE 109, BOX 250
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230
Mailing Address - Country:US
Mailing Address - Phone:559-697-5045
Mailing Address - Fax:
Practice Address - Street 1:503 JULIA CIR
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-6821
Practice Address - Country:US
Practice Address - Phone:559-998-9174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA829641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical