Provider Demographics
NPI:1518681709
Name:DESPERAK-SCHISLER, DANIELLE S (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:S
Last Name:DESPERAK-SCHISLER
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 1:171 CLERMONT AVE APT 2C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-3317
Mailing Address - Country:US
Mailing Address - Phone:917-538-5781
Mailing Address - Fax:
Practice Address - Street 1:171 CLERMONT AVE APT 2C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-3317
Practice Address - Country:US
Practice Address - Phone:917-538-5781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0941821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical