Provider Demographics
NPI:1972970234
Name:SCHWARTZ, MICHAELA (MSW)
Entity Type:Individual
Prefix:MS
First Name:MICHAELA
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:SCHWARTZ-BURRIDGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:352 W 110TH ST
Mailing Address - Street 2:APT 9A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-2637
Mailing Address - Country:US
Mailing Address - Phone:917-498-0141
Mailing Address - Fax:
Practice Address - Street 1:80 5TH AVE
Practice Address - Street 2:SUITE 903A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8002
Practice Address - Country:US
Practice Address - Phone:917-498-0141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-21
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical