Provider Demographics
NPI:1861769127
Name:SCHUSTER, JOSEPH GERARD (LCSW-R)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:GERARD
Last Name:SCHUSTER
Suffix:
Gender:M
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 ELLAS AVE
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:NY
Mailing Address - Zip Code:14810-1107
Mailing Address - Country:US
Mailing Address - Phone:607-654-2307
Mailing Address - Fax:607-654-2301
Practice Address - Street 1:25 ELLAS AVE
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:NY
Practice Address - Zip Code:14810-1107
Practice Address - Country:US
Practice Address - Phone:607-654-2307
Practice Address - Fax:607-654-2301
Is Sole Proprietor?:No
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR035355-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical