Provider Demographics
NPI:1467506998
Name:SCHWARTZ, SHELDON (LCSW R)
Entity Type:Individual
Prefix:MR
First Name:SHELDON
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:LCSW R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771 WEST END AVE
Mailing Address - Street 2:#11F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5539
Mailing Address - Country:US
Mailing Address - Phone:917-993-0817
Mailing Address - Fax:
Practice Address - Street 1:103 26 68TH ROAD
Practice Address - Street 2:ADVANCED CENTER FOR PSYCHOTHERAPY
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-261-3330
Practice Address - Fax:718-897-0095
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR077047101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health