Provider Demographics
NPI:1205851508
Name:SCHWARTZ, DAVID ASHER (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ASHER
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1227 PRESIDENT ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-1665
Mailing Address - Country:US
Mailing Address - Phone:718-773-0063
Mailing Address - Fax:
Practice Address - Street 1:1227 PRESIDENT ST APT 1B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-1665
Practice Address - Country:US
Practice Address - Phone:718-773-0063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR059126104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN40A41Medicare ID - Type Unspecified