Provider Demographics
NPI:1336759901
Name:CHRISTINE ELAINE SCHAETZL LCSW PLLC
Entity Type:Organization
Organization Name:CHRISTINE ELAINE SCHAETZL LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:SCHAETZL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:845-232-0396
Mailing Address - Street 1:8 JOHN WALSH BLVD STE 200B
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-5347
Mailing Address - Country:US
Mailing Address - Phone:845-232-0396
Mailing Address - Fax:914-402-4209
Practice Address - Street 1:8 JOHN WALSH BLVD STE 200B
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-5347
Practice Address - Country:US
Practice Address - Phone:845-232-0396
Practice Address - Fax:914-402-4209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-07
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02988452Medicaid