Provider Demographics
NPI:1255041562
Name:SCHWARTZ, ELI (LMSW)
Entity type:Individual
Prefix:
First Name:ELI
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HILLWOOD CT
Mailing Address - Street 2:
Mailing Address - City:THIELLS
Mailing Address - State:NY
Mailing Address - Zip Code:10984-1414
Mailing Address - Country:US
Mailing Address - Phone:410-855-5576
Mailing Address - Fax:
Practice Address - Street 1:42 MELNICK DR
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-3328
Practice Address - Country:US
Practice Address - Phone:410-855-5576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY117711-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker