Provider Demographics
NPI:1396955639
Name:SCHWARTZ, JENIFER LAUREN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JENIFER
Middle Name:LAUREN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 BELMONT CIR
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-5733
Mailing Address - Country:US
Mailing Address - Phone:917-596-7053
Mailing Address - Fax:516-299-9386
Practice Address - Street 1:185 ROSLYN RD
Practice Address - Street 2:SUITE #3
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-1356
Practice Address - Country:US
Practice Address - Phone:516-299-9386
Practice Address - Fax:516-299-9386
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071859-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical