Healthcare Provider Details

I. General information

NPI: 1174773337
Provider Name (Legal Business Name): MELISSA MARGARET SCHNEIDER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELISSA MARGARET HAINES LMSW

II. Dates (important events)

Enumeration Date: 09/24/2008
Last Update Date: 04/01/2020
Certification Date: 04/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 WAYNE ST APT 1R
JERSEY CITY NJ
07302-3541
US

IV. Provider business mailing address

296 1/2 6TH ST
JERSEY CITY NJ
07302-6905
US

V. Phone/Fax

Practice location:
  • Phone: 412-841-8334
  • Fax: 844-866-6790
Mailing address:
  • Phone: 412-841-8334
  • Fax: 844-866-6790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05751400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number074263-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: