Provider Demographics
NPI:1801479563
Name:SCHNEIDER, TRACY LYNN (LCSW-R)
Entity type:Individual
Prefix:MS
First Name:TRACY
Middle Name:LYNN
Last Name:SCHNEIDER
Suffix:
Gender:F
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 1:94 HILLTOP RD
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-1610
Mailing Address - Country:US
Mailing Address - Phone:914-806-9423
Mailing Address - Fax:
Practice Address - Street 1:94 HILLTOP RD
Practice Address - Street 2:
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-1610
Practice Address - Country:US
Practice Address - Phone:914-806-9423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical