Provider Demographics
NPI:1366468019
Name:SCHIFFER, ROBERTA G (MSW)
Entity Type:Individual
Prefix:MS
First Name:ROBERTA
Middle Name:G
Last Name:SCHIFFER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:DEMAREST
Mailing Address - State:NJ
Mailing Address - Zip Code:07627-2428
Mailing Address - Country:US
Mailing Address - Phone:201-664-8788
Mailing Address - Fax:
Practice Address - Street 1:10 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:DEMAREST
Practice Address - State:NJ
Practice Address - Zip Code:07627-2428
Practice Address - Country:US
Practice Address - Phone:201-664-8788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC030831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical