Provider Demographics
NPI:1174772560
Name:SCHWARZENBACH, KATHERINE B (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:B
Last Name:SCHWARZENBACH
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 1:600 SOUTH LAKE AVENUE, SUITE 504
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-3918
Mailing Address - Country:US
Mailing Address - Phone:626-793-2075
Mailing Address - Fax:626-796-6141
Practice Address - Street 1:600 SOUTH LAKE AVENUE, # 504
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-3918
Practice Address - Country:US
Practice Address - Phone:626-793-2075
Practice Address - Fax:626-796-6141
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS162591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical