Provider Demographics
NPI:1679720627
Name:SCHWARTZ, MARCI ANNE (PHD LCSW)
Entity type:Individual
Prefix:DR
First Name:MARCI
Middle Name:ANNE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PHD LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 ALBERTO WAY STE 1
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-5404
Mailing Address - Country:US
Mailing Address - Phone:408-356-6510
Mailing Address - Fax:
Practice Address - Street 1:401 ALBERTO WAY STE 1
Practice Address - Street 2:SUITE 1
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-5404
Practice Address - Country:US
Practice Address - Phone:408-356-6510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-21
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS18411104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker