Provider Demographics
NPI:1598069882
Name:SCHAUBLIN, DAVID J (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:J
Last Name:SCHAUBLIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:589 FRANKLIN TPKE
Mailing Address - Street 2:SUITE 6B
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-1989
Mailing Address - Country:US
Mailing Address - Phone:201-981-5366
Mailing Address - Fax:
Practice Address - Street 1:589 FRANKLIN TPKE
Practice Address - Street 2:SUITE 6B
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-1989
Practice Address - Country:US
Practice Address - Phone:201-981-5366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-01
Last Update Date:2011-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054235001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical