Provider Demographics
NPI:1730534314
Name:SCHURTZ, CARRIE (LCSW-C)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:SCHURTZ
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 UNIONTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21158-4221
Mailing Address - Country:US
Mailing Address - Phone:859-519-0119
Mailing Address - Fax:410-848-5629
Practice Address - Street 1:30 N COURT ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5110
Practice Address - Country:US
Practice Address - Phone:859-519-0119
Practice Address - Fax:410-848-5629
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16949104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD16949OtherLICENSE