Provider Demographics
NPI:1740807742
Name:SCHOFIELD, JENNIFER ANN (CASAC, LCSW)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANN
Last Name:SCHOFIELD
Suffix:
Gender:F
Credentials:CASAC, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 FAIRVIEW AVE STE 99
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-8404
Mailing Address - Country:US
Mailing Address - Phone:518-822-7702
Mailing Address - Fax:
Practice Address - Street 1:500 MILAN HOLLOW RD
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572
Practice Address - Country:US
Practice Address - Phone:845-266-3481
Practice Address - Fax:845-266-3444
Is Sole Proprietor?:No
Enumeration Date:2020-06-25
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0896071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical