Provider Demographics
NPI:1982351581
Name:SCHWARTZENBURG, RENE MICHELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:RENE
Middle Name:MICHELLE
Last Name:SCHWARTZENBURG
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 1:52 CREDUER RD
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-9165
Mailing Address - Country:US
Mailing Address - Phone:318-359-9463
Mailing Address - Fax:
Practice Address - Street 1:12805 HIGHWAY 28 E STE B
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-0708
Practice Address - Country:US
Practice Address - Phone:318-466-5151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-04
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA123321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical