Provider Demographics
NPI:1477521177
Name:SCHIEBER, AVIVA HERING (LCSW)
Entity Type:Individual
Prefix:
First Name:AVIVA
Middle Name:HERING
Last Name:SCHIEBER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHANA
Other - Middle Name:AVIVA
Other - Last Name:SCHIEBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:220 COMMERCE DR
Mailing Address - Street 2:SUITE 401
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-2402
Mailing Address - Country:US
Mailing Address - Phone:215-540-5860
Mailing Address - Fax:215-540-5864
Practice Address - Street 1:220 COMMERCE DR
Practice Address - Street 2:SUITE 401
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-2402
Practice Address - Country:US
Practice Address - Phone:215-540-5860
Practice Address - Fax:215-540-5864
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0128711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS14216Medicare UPIN