Provider Demographics
NPI:1588068126
Name:SCHULTZ, DEANN RUTH (MSW, LCSW-C)
Entity type:Individual
Prefix:MS
First Name:DEANN
Middle Name:RUTH
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MSW, LCSW-C
Other - Prefix:MRS
Other - First Name:DEANN
Other - Middle Name:RUTH
Other - Last Name:SITES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:113 CYPRESS DRIVE
Mailing Address - Street 2:
Mailing Address - City:KEYSER
Mailing Address - State:WV
Mailing Address - Zip Code:26726-8445
Mailing Address - Country:US
Mailing Address - Phone:304-851-0458
Mailing Address - Fax:304-262-1417
Practice Address - Street 1:510 BUTLER AVE
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25405-9990
Practice Address - Country:US
Practice Address - Phone:304-263-0811
Practice Address - Fax:304-262-1417
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-10
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD174131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical