Provider Demographics
NPI:1699500728
Name:SCHWARTZMAN, RACHEL LYNN (LCSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYNN
Last Name:SCHWARTZMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8545 VIA MALLORCA
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-2502
Mailing Address - Country:US
Mailing Address - Phone:650-224-6764
Mailing Address - Fax:
Practice Address - Street 1:8545 VIA MALLORCA
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-2502
Practice Address - Country:US
Practice Address - Phone:650-224-6764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW123929101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health