Provider Demographics
NPI:1568792166
Name:SCHUTZMAN, SCOTT (LMFT, CASAC)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:SCHUTZMAN
Suffix:
Gender:M
Credentials:LMFT, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:647 W 207TH ST APT 6D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-2622
Mailing Address - Country:US
Mailing Address - Phone:917-924-9867
Mailing Address - Fax:
Practice Address - Street 1:647 W 207TH ST APT 6D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-2622
Practice Address - Country:US
Practice Address - Phone:917-924-9867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-04
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27373101YA0400X
NY001011106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)