Provider Demographics
NPI:1780729947
Name:SCHAFFER, ROBERT G (LCSW-R)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:G
Last Name:SCHAFFER
Suffix:
Gender:M
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 DUANE AVE
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-2627
Mailing Address - Country:US
Mailing Address - Phone:518-377-2448
Mailing Address - Fax:518-377-3216
Practice Address - Street 1:428 DUANE AVE
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-2627
Practice Address - Country:US
Practice Address - Phone:518-377-2448
Practice Address - Fax:518-377-3216
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR050865-1101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)