Provider Demographics
NPI:1043732571
Name:SCHULTZ, LISA RENEE (LMSW, CSW-I, CADC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:RENEE
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:LMSW, CSW-I, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6125 CHIMNEY DR
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89433-6810
Mailing Address - Country:US
Mailing Address - Phone:775-378-7768
Mailing Address - Fax:
Practice Address - Street 1:975 ROBERTA LN STE 104
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-6812
Practice Address - Country:US
Practice Address - Phone:775-525-1616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-17
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00634-C101YA0400X
NVIC-19641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)