Provider Demographics
NPI:1184934721
Name:SCHWARTZ, JUDITH R (MSW,LCSW)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:R
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1BROOKDALEPLAZA 12TH FLOOR
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212
Mailing Address - Country:US
Mailing Address - Phone:718-240-5970
Mailing Address - Fax:718-240-6757
Practice Address - Street 1:1BROOKDALEPLAZA
Practice Address - Street 2:12THFLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212
Practice Address - Country:US
Practice Address - Phone:718-240-5970
Practice Address - Fax:718-240-6757
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074071-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical