Provider Demographics
NPI:1720228604
Name:SCHWARTE, SHANTIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHANTIE
Middle Name:
Last Name:SCHWARTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7612 270TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1418
Mailing Address - Country:US
Mailing Address - Phone:646-932-1749
Mailing Address - Fax:
Practice Address - Street 1:144 LAKE AVE
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-4219
Practice Address - Country:US
Practice Address - Phone:646-932-1749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY078999-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical