Provider Demographics
NPI:1245744820
Name:CHERYL SCHWARTZ, LCSW, LLC
Entity Type:Organization
Organization Name:CHERYL SCHWARTZ, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-426-3046
Mailing Address - Street 1:32 CHURCH HILL RD STE 208
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1625
Mailing Address - Country:US
Mailing Address - Phone:203-426-3046
Mailing Address - Fax:203-270-9968
Practice Address - Street 1:32 CHURCH HILL RD STE 208
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1625
Practice Address - Country:US
Practice Address - Phone:203-426-3046
Practice Address - Fax:203-270-9968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-19
Last Update Date:2017-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000058001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty