Provider Demographics
NPI:1730459660
Name:SCHNEIER, JUDY NINA (LCSW)
Entity type:Individual
Prefix:MS
First Name:JUDY
Middle Name:NINA
Last Name:SCHNEIER
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 1:305 3RD ST
Mailing Address - Street 2:4H
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-2809
Mailing Address - Country:US
Mailing Address - Phone:917-328-0089
Mailing Address - Fax:212-577-9715
Practice Address - Street 1:641 PRESIDENT ST
Practice Address - Street 2:107
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-1523
Practice Address - Country:US
Practice Address - Phone:917-328-0089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY077666-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical