Provider Demographics
NPI:1801955943
Name:SCHWARTZ, JAMES STEPHEN (MSW CADC III)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:STEPHEN
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MSW CADC III
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Mailing Address - Street 1:5215 N IRONWOOD RD
Mailing Address - Street 2:#115
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53217
Mailing Address - Country:US
Mailing Address - Phone:414-332-4114
Mailing Address - Fax:414-332-0855
Practice Address - Street 1:5215 N IRONWOOD RD
Practice Address - Street 2:#115
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53217
Practice Address - Country:US
Practice Address - Phone:414-332-4114
Practice Address - Fax:414-332-0855
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI4132-123101Y00000X
WI107101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39508400Medicaid