Provider Demographics
NPI:1821413816
Name:SCHLOSS, SHLOMO YOSEF (LCSW, LICSW)
Entity Type:Individual
Prefix:MR
First Name:SHLOMO
Middle Name:YOSEF
Last Name:SCHLOSS
Suffix:
Gender:M
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 1:2630 RALEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55416-1910
Mailing Address - Country:US
Mailing Address - Phone:305-725-2386
Mailing Address - Fax:
Practice Address - Street 1:2630 RALEIGH AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55416-1910
Practice Address - Country:US
Practice Address - Phone:305-725-2386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-27
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD295051041C0700X
NJ44SC062249001041C0700X
FL217431041C0700X
MN267521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical