Provider Demographics
NPI:1184292195
Name:SCHONBRUN, ESTHER (LMSW)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:SCHONBRUN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11205 MONTICELLO AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3215
Mailing Address - Country:US
Mailing Address - Phone:845-499-0267
Mailing Address - Fax:
Practice Address - Street 1:11201 HEALY ST
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-3219
Practice Address - Country:US
Practice Address - Phone:240-997-1612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSW25381104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker