Healthcare Provider Details

I. General information

NPI: 1053597179
Provider Name (Legal Business Name): CHRISTINE ELAINE SCHAETZL LCSW-R
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2008
Last Update Date: 08/08/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1392 ALBANY POST RD SUITE 2E, OFFICE 4
CROTON ON HUDSON NY
10520-1559
US

IV. Provider business mailing address

1392 ALBANY POST RD STE EOFFICE4
CROTON ON HUDSON NY
10520-1559
US

V. Phone/Fax

Practice location:
  • Phone: 845-232-0396
  • Fax: 914-402-4209
Mailing address:
  • Phone: 845-232-0396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number072077
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number072077
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: