Provider Demographics
NPI:1558147967
Name:SCHWARTZ, ALISON (LCSW, LCADC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 510
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-0510
Mailing Address - Country:US
Mailing Address - Phone:973-623-0600
Mailing Address - Fax:973-623-1862
Practice Address - Street 1:595 COUNTY AVE BLDG 6
Practice Address - Street 2:
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-2605
Practice Address - Country:US
Practice Address - Phone:973-623-0600
Practice Address - Fax:973-623-1862
Is Sole Proprietor?:No
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056233001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical