Provider Demographics
NPI:1407013873
Name:SCHRETZMAN, ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:SCHRETZMAN
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 1:280 9TH AVE
Mailing Address - Street 2:13B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5702
Mailing Address - Country:US
Mailing Address - Phone:917-562-0631
Mailing Address - Fax:212-924-4928
Practice Address - Street 1:280 9TH AVE
Practice Address - Street 2:13B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5702
Practice Address - Country:US
Practice Address - Phone:917-562-0631
Practice Address - Fax:212-924-4928
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0742781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical