Provider Demographics
NPI:1295263937
Name:SZNAJDERMAN, JEANNETTE (LCSW)
Entity type:Individual
Prefix:
First Name:JEANNETTE
Middle Name:
Last Name:SZNAJDERMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JEANNETTE
Other - Middle Name:
Other - Last Name:STERN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:168 W 86TH ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4023
Mailing Address - Country:US
Mailing Address - Phone:917-696-4770
Mailing Address - Fax:
Practice Address - Street 1:168 W 86TH ST APT 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4023
Practice Address - Country:US
Practice Address - Phone:917-696-4770
Practice Address - Fax:917-696-4770
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-25
Last Update Date:2017-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY085309-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical