Provider Demographics
NPI:1912162090
Name:SCHWARZ, JESSICA RAE (LMSW, CAADC)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:RAE
Last Name:SCHWARZ
Suffix:
Gender:F
Credentials:LMSW, CAADC
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:RAE
Other - Last Name:KOWALCZYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW, CAADC
Mailing Address - Street 1:PO BOX 995
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48106-0995
Mailing Address - Country:US
Mailing Address - Phone:734-712-5351
Mailing Address - Fax:
Practice Address - Street 1:5401 MCAULEY DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1011
Practice Address - Country:US
Practice Address - Phone:734-712-5351
Practice Address - Fax:734-786-4915
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801093401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical