Provider Demographics
NPI:1093426702
Name:SCHTROKS, AVROHOM YESHAYA (MSW)
Entity Type:Individual
Prefix:
First Name:AVROHOM
Middle Name:YESHAYA
Last Name:SCHTROKS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:SHAYA
Other - Middle Name:
Other - Last Name:SCHTROKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:6986 PALMETTO CIR S APT 609
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3508
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6986 PALMETTO CIR S APT 609
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3508
Practice Address - Country:US
Practice Address - Phone:917-474-5139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-13
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW16582101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health