Provider Demographics
NPI:1508480492
Name:SCHOENFELD, ROXANNE (MA, LCAT, RDT)
Entity Type:Individual
Prefix:
First Name:ROXANNE
Middle Name:
Last Name:SCHOENFELD
Suffix:
Gender:F
Credentials:MA, LCAT, RDT
Other - Prefix:
Other - First Name:ROXY
Other - Middle Name:
Other - Last Name:SCHOENFELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LCAT, RDT
Mailing Address - Street 1:186 MONTAGUE ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3606
Mailing Address - Country:US
Mailing Address - Phone:201-381-1789
Mailing Address - Fax:
Practice Address - Street 1:526 W 26TH ST RM 309
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5518
Practice Address - Country:US
Practice Address - Phone:201-381-1789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-05
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002394101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health