Provider Demographics
NPI:1487860847
Name:SCHNEIDER, CAROL JANET (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:JANET
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:864 SOUTH ROBERTSON BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-2626
Mailing Address - Country:US
Mailing Address - Phone:323-934-2366
Mailing Address - Fax:323-938-6511
Practice Address - Street 1:864 SOUTH ROBERTSON BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-2626
Practice Address - Country:US
Practice Address - Phone:323-934-2366
Practice Address - Fax:323-938-6511
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW#59001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical