Provider Demographics
NPI:1952316374
Name:SCHWARTZ, BEATRIX
Entity Type:Individual
Prefix:MS
First Name:BEATRIX
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:BEATRIX
Other - Middle Name:
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:196 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3173
Mailing Address - Country:US
Mailing Address - Phone:732-566-7000
Mailing Address - Fax:732-566-7000
Practice Address - Street 1:196 MAIN ST
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3173
Practice Address - Country:US
Practice Address - Phone:732-566-7000
Practice Address - Fax:732-566-7000
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2015-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001775001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ643870Medicare PIN