Provider Demographics
NPI:1083989149
Name:SCHWARTZ, TATYANA ZELMAN (LMSW)
Entity Type:Individual
Prefix:
First Name:TATYANA
Middle Name:ZELMAN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:877 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3321
Mailing Address - Country:US
Mailing Address - Phone:518-482-8856
Mailing Address - Fax:518-489-5839
Practice Address - Street 1:877 MADISON AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3321
Practice Address - Country:US
Practice Address - Phone:518-482-8856
Practice Address - Fax:518-489-5839
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064479-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical