Healthcare Provider Details

I. General information

NPI: 1295651602
Provider Name (Legal Business Name): MAGGIE SCHWEPPE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 NORMAN AVE STE 212
BROOKLYN NY
11222-1562
US

IV. Provider business mailing address

2441 24TH ST
ASTORIA NY
11102-2827
US

V. Phone/Fax

Practice location:
  • Phone: 646-789-3600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number018051
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: