Provider Demographics
NPI:1679631626
Name:SCHMIDT, ANDREW B (LCSW, PHD)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:B
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 6TH AVE RM 1603
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3574
Mailing Address - Country:US
Mailing Address - Phone:917-514-0860
Mailing Address - Fax:
Practice Address - Street 1:875 AVENUE OF THE AMERICAS 1603
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3574
Practice Address - Country:US
Practice Address - Phone:917-514-0860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0728871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical