Provider Demographics
NPI:1346426756
Name:SCHWARZ, KAREN (LMHC, CASAC, NBCCH)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:SCHWARZ
Suffix:
Gender:F
Credentials:LMHC, CASAC, NBCCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6315 FLY RD STE 104
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-9316
Mailing Address - Country:US
Mailing Address - Phone:315-289-6107
Mailing Address - Fax:315-802-4083
Practice Address - Street 1:6315 FLY ROAD, SUITE 104
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057
Practice Address - Country:US
Practice Address - Phone:315-289-6107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004084101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1346426756Medicaid