Provider Demographics
NPI:1740584192
Name:SCHNEIDER, JENNIFER ARIEL (LCSW, LICSW)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ARIEL
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 MAIN ST # 672
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-4416
Mailing Address - Country:US
Mailing Address - Phone:617-612-5944
Mailing Address - Fax:617-206-4314
Practice Address - Street 1:126 MAIN ST # 672
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-4416
Practice Address - Country:US
Practice Address - Phone:617-612-5944
Practice Address - Fax:617-206-4314
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-28
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA265481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical