Provider Demographics
NPI:1245379635
Name:SCHIEBER, JILL (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:
Last Name:SCHIEBER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-2821
Mailing Address - Country:US
Mailing Address - Phone:516-931-1109
Mailing Address - Fax:516-931-1109
Practice Address - Street 1:48 BIRCH DR
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-2821
Practice Address - Country:US
Practice Address - Phone:516-931-1109
Practice Address - Fax:516-931-1109
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR049160-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker