Provider Demographics
NPI:1902037195
Name:SCHWARTZ, PAMELA SUSAN (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:SUSAN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 E 83RD ST APT 2D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-4246
Mailing Address - Country:US
Mailing Address - Phone:917-379-9694
Mailing Address - Fax:
Practice Address - Street 1:320 E 83RD ST APT 2D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-4246
Practice Address - Country:US
Practice Address - Phone:917-379-9694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-05
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056930-11041C0700X
NY840404174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical