Provider Demographics
NPI:1093528796
Name:SCHULTZ, THERESA ANN (LMSW)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:ANN
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7726 PONDEROSA PNE
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78015-5154
Mailing Address - Country:US
Mailing Address - Phone:503-381-5391
Mailing Address - Fax:
Practice Address - Street 1:7726 PONDEROSA PNE
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78015-5154
Practice Address - Country:US
Practice Address - Phone:503-381-5391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1095431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical