Provider Demographics
NPI:1144599259
Name:SCHAFLER, BENJAMIN P (LCSW-R MSW)
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:P
Last Name:SCHAFLER
Suffix:
Gender:M
Credentials:LCSW-R MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 W WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-3413
Mailing Address - Country:US
Mailing Address - Phone:516-428-8525
Mailing Address - Fax:
Practice Address - Street 1:55 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3413
Practice Address - Country:US
Practice Address - Phone:516-428-8525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-19
Last Update Date:2022-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0434391041C0700X
NY73 0434391041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical