Provider Demographics
NPI:1154545903
Name:SCHULTZ, KAREN (MSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:672 TUSCORA DR
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-3841
Mailing Address - Country:US
Mailing Address - Phone:407-365-6517
Mailing Address - Fax:407-365-6517
Practice Address - Street 1:125 EXCELSIOR PKWY
Practice Address - Street 2:SUITE 205
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-2569
Practice Address - Country:US
Practice Address - Phone:407-327-2901
Practice Address - Fax:407-327-2780
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL766308100Medicaid