Provider Demographics
NPI:1811244502
Name:SCHWARTZ, JEMMA ROSE BINDER (LCSW, RYT)
Entity type:Individual
Prefix:
First Name:JEMMA
Middle Name:ROSE BINDER
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LCSW, RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 SOUTH CHESTNUT STREET
Mailing Address - Street 2:SUITE #107
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561
Mailing Address - Country:US
Mailing Address - Phone:845-693-2800
Mailing Address - Fax:
Practice Address - Street 1:21 SOUTH CHESTNUT STREET
Practice Address - Street 2:SUITE #107
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561
Practice Address - Country:US
Practice Address - Phone:845-693-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-13
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY084530-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical