Provider Demographics
NPI:1922417757
Name:RASKIN, TOMMIE SCHNEIDER (LCSW, PHD)
Entity type:Individual
Prefix:DR
First Name:TOMMIE
Middle Name:SCHNEIDER
Last Name:RASKIN
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:MISS
Other - First Name:TOMMIE
Other - Middle Name:PERRIN
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34 W PARKER AVE
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040
Mailing Address - Country:US
Mailing Address - Phone:301-706-9259
Mailing Address - Fax:212-348-7253
Practice Address - Street 1:34 W PARKER AVE
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040
Practice Address - Country:US
Practice Address - Phone:212-360-7875
Practice Address - Fax:212-348-7253
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-06
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY090131101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101Y00000XBehavioral Health & Social Service ProvidersCounselor