Provider Demographics
NPI:1477885176
Name:SCHACTER, MARION GLORIA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARION
Middle Name:GLORIA
Last Name:SCHACTER
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 1:60 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-7326
Mailing Address - Country:US
Mailing Address - Phone:212-777-0812
Mailing Address - Fax:
Practice Address - Street 1:60 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-7326
Practice Address - Country:US
Practice Address - Phone:212-777-0812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR 10408-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
8668370241Medicare NSC
NY8668370241Medicare NSC
NY8668370241Medicare UPIN
NY8667370241Medicare Oscar/Certification
NY8668370241Medicare Oscar/Certification
NY8668370271Medicare NSC