MEDICARE: MS. LORRAINE ALICE SCHWARZ LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	067552	NY

General Provider Information

NPI Number	:	1558434670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LORRAINE ALICE SCHWARZ LMSW

Provider Business Mailing Address
First Line	:	139 MONTGOMERY AVE
Second Line	:	GROUND FLOOR
City	:	SCARSDALE
State	:	NY
Zip	:	10583-5502
Country	:	US
Telephone Number	:	914-722-2161
Fax Number	:	914-722-2430

Provider Business Practice Location Address
First Line	:	139 MONTGOMERY AVE
Second Line	:	GROUND FLOOR
City	:	SCARSDALE
State	:	NY
Zip	:	10583-5502
Country	:	US
Telephone Number	:	914-722-2161
Fax Number	:	914-722-2430

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	07/08/2007

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