Provider Demographics
NPI:1851541767
Name:SCHNEER, ANDREA MAXINE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:MAXINE
Last Name:SCHNEER
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 1:110 W 71ST ST APT A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4008
Mailing Address - Country:US
Mailing Address - Phone:212-580-0805
Mailing Address - Fax:
Practice Address - Street 1:11 E 36TH ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3318
Practice Address - Country:US
Practice Address - Phone:212-685-3376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-27
Last Update Date:2008-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR234781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR23478OtherLICENSED SOCIAL WORKER