Provider Demographics
NPI:1649910084
Name:SCHNEIDER, BONNIE JOY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:JOY
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:BONNIE
Other - Middle Name:JOY
Other - Last Name:PACKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:336 WEST PASSAIC STREET
Mailing Address - Street 2:
Mailing Address - City:ROCHELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07662-3027
Mailing Address - Country:US
Mailing Address - Phone:201-845-7030
Mailing Address - Fax:201-845-0899
Practice Address - Street 1:336 WEST PASSAIC STREET
Practice Address - Street 2:
Practice Address - City:ROCHELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07662-3027
Practice Address - Country:US
Practice Address - Phone:201-845-7030
Practice Address - Fax:201-845-0899
Is Sole Proprietor?:No
Enumeration Date:2022-04-01
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05695600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health