Provider Demographics
NPI:1891262572
Name:SCHOR, SAMUEL JULIUS (LICSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:JULIUS
Last Name:SCHOR
Suffix:
Gender:M
Credentials:LICSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 GEORGIA AVE NW APT 301
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-4842
Mailing Address - Country:US
Mailing Address - Phone:301-537-3131
Mailing Address - Fax:
Practice Address - Street 1:3704 MACOMB ST NW STE 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3829
Practice Address - Country:US
Practice Address - Phone:202-302-5671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-31
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040128291041C0700X
DCLC500823231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCLG50082039OtherLGSW