Provider Demographics
NPI:1104547678
Name:SCHMELZER, JENNIFER ELISABETH (LMFT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ELISABETH
Last Name:SCHMELZER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 EUCLID ST APT 8
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-1723
Mailing Address - Country:US
Mailing Address - Phone:561-336-8233
Mailing Address - Fax:
Practice Address - Street 1:829 EUCLID ST APT 8
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-1723
Practice Address - Country:US
Practice Address - Phone:561-336-8233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-05
Last Update Date:2023-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT4440106H00000X
CA138917106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist