Provider Demographics
NPI:1053588129
Name:SCHMITT, ELLEN MURRAY (MSW, LCSW, ACSW)
Entity type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:MURRAY
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:MSW, LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3118 SOUTHWELL CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-1761
Mailing Address - Country:US
Mailing Address - Phone:904-707-1990
Mailing Address - Fax:
Practice Address - Street 1:3118 SOUTHWELL CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-1761
Practice Address - Country:US
Practice Address - Phone:904-707-1990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW46831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical