Provider Demographics
NPI:1841486073
Name:SCHWARZ, CATHY JOAN (LAC, LCSW-C)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:JOAN
Last Name:SCHWARZ
Suffix:
Gender:F
Credentials:LAC, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11668 DARK FIRE WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4344
Mailing Address - Country:US
Mailing Address - Phone:410-964-3767
Mailing Address - Fax:
Practice Address - Street 1:10716 LITTLE PATUXENT PKWY STE 210
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3117
Practice Address - Country:US
Practice Address - Phone:410-964-3767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01427171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist