Provider Demographics
NPI:1467148429
Name:SCHWARTZ, EDEN HANA (LMSW)
Entity Type:Individual
Prefix:
First Name:EDEN
Middle Name:HANA
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 PROSPECT PL APT 9F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-4271
Mailing Address - Country:US
Mailing Address - Phone:503-449-5332
Mailing Address - Fax:
Practice Address - Street 1:545 PROSPECT PL APT 9F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-4271
Practice Address - Country:US
Practice Address - Phone:503-449-5332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1108941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical