Provider Demographics
NPI:1104989052
Name:SCHMITZ, JULIA KAY (LCSW)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:KAY
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:SCHMITZ
Other - Last Name:CRUMP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:5646 MILTON ST
Mailing Address - Street 2:SUITE 340
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-3907
Mailing Address - Country:US
Mailing Address - Phone:214-564-3343
Mailing Address - Fax:214-361-9708
Practice Address - Street 1:5646 MILTON ST
Practice Address - Street 2:SUITE 340
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-3907
Practice Address - Country:US
Practice Address - Phone:214-564-3343
Practice Address - Fax:214-361-9708
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX144321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00S67SMedicare ID - Type Unspecified