Provider Demographics
NPI:1952741415
Name:SCHORNSTEIN, KERIN MARCI (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KERIN
Middle Name:MARCI
Last Name:SCHORNSTEIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3458 VANDERBILT DR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-9362
Mailing Address - Country:US
Mailing Address - Phone:561-635-3355
Mailing Address - Fax:
Practice Address - Street 1:1035 S STATE ROAD 7
Practice Address - Street 2:SUITE 315-32
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6134
Practice Address - Country:US
Practice Address - Phone:561-635-3355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW75341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical