Provider Demographics
NPI:1497957922
Name:SCHUSTER, DAPHNE J (LCSW-R)
Entity Type:Individual
Prefix:DR
First Name:DAPHNE
Middle Name:J
Last Name:SCHUSTER
Suffix:
Gender:F
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 1:14 FAMS DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-6457
Mailing Address - Country:US
Mailing Address - Phone:516-931-5060
Mailing Address - Fax:516-931-2106
Practice Address - Street 1:100 MANETTO HILL RD
Practice Address - Street 2:SUITE #205
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1311
Practice Address - Country:US
Practice Address - Phone:561-931-5060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0544401041C0700X
NY000316106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist