Provider Demographics
NPI:1114553153
Name:SCHMITZ, SUSAN (LMHC, ATR)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:LMHC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 MAIN ST FL 4
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-2166
Mailing Address - Country:US
Mailing Address - Phone:978-333-7426
Mailing Address - Fax:
Practice Address - Street 1:45 MAIN ST FL 4
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-2166
Practice Address - Country:US
Practice Address - Phone:978-333-7426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-22
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18-269221700000X
MA9070101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist