Provider Demographics
NPI:1083204234
Name:SCHOENFARBER, ADAM JORDAN (LCSW, APHSW-C)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:JORDAN
Last Name:SCHOENFARBER
Suffix:
Gender:M
Credentials:LCSW, APHSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 GARTH RD APT E1B
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3958
Mailing Address - Country:US
Mailing Address - Phone:413-329-1188
Mailing Address - Fax:
Practice Address - Street 1:235 GARTH RD APT E1B
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-3958
Practice Address - Country:US
Practice Address - Phone:413-329-1188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0858231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical