Provider Demographics
NPI:1477263267
Name:JULIA SCHAFER, LCSW PLLC
Entity Type:Organization
Organization Name:JULIA SCHAFER, LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SCHAFER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:347-357-0583
Mailing Address - Street 1:6588 58TH AVE
Mailing Address - Street 2:
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-2525
Mailing Address - Country:US
Mailing Address - Phone:347-357-0583
Mailing Address - Fax:
Practice Address - Street 1:6588 58TH AVE
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-2525
Practice Address - Country:US
Practice Address - Phone:347-357-0583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty