Provider Demographics
NPI:1902012057
Name:SCHNALL, DEBRA S (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:S
Last Name:SCHNALL
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 1:300 MERCER STREET #6K
Mailing Address - Street 2:
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10003-6733
Mailing Address - Country:US
Mailing Address - Phone:212-420-1364
Mailing Address - Fax:
Practice Address - Street 1:300 MERCER STREET #6K
Practice Address - Street 2:
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10003-6733
Practice Address - Country:US
Practice Address - Phone:212-420-1364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR01723411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN45431Medicare ID - Type Unspecified