Provider Demographics
NPI:1710492335
Name:SEEWALD-RUSSELL, TZILA CHANA (LMSW)
Entity Type:Individual
Prefix:
First Name:TZILA
Middle Name:CHANA
Last Name:SEEWALD-RUSSELL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:TZILA
Other - Middle Name:CHANA
Other - Last Name:SEEWALD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1578 E 29TH ST # 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1898
Mailing Address - Country:US
Mailing Address - Phone:718-686-3400
Mailing Address - Fax:718-686-4554
Practice Address - Street 1:6023 FORT HAMILTON PKWY # 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4814
Practice Address - Country:US
Practice Address - Phone:718-686-3400
Practice Address - Fax:718-686-4554
Is Sole Proprietor?:No
Enumeration Date:2017-12-05
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical