Provider Demographics
NPI:1588774913
Name:SCHMITT, MARY HASSAN (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:HASSAN
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:MARY
Other - Middle Name:ELLEN
Other - Last Name:HASSAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1433 FAIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-7244
Mailing Address - Country:US
Mailing Address - Phone:512-491-8444
Mailing Address - Fax:512-491-0226
Practice Address - Street 1:1433 FAIRFIELD DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-7244
Practice Address - Country:US
Practice Address - Phone:512-491-8444
Practice Address - Fax:512-491-0226
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19745104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX125331205Medicaid
TX456853YN1AOtherMEDICARE
TX125331205Medicaid