Provider Demographics
NPI:1538417472
Name:SCHNEIDER, KAREN SUE (LCSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:S
Other - Last Name:BENRUBI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:19335 SKYRIDGE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498
Mailing Address - Country:US
Mailing Address - Phone:561-477-0816
Mailing Address - Fax:561-470-6063
Practice Address - Street 1:19335 SKYRIDGE CIRCLE
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498
Practice Address - Country:US
Practice Address - Phone:561-477-0816
Practice Address - Fax:561-470-6063
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW5132104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker