Healthcare Provider Details

I. General information

NPI: 1336752161
Provider Name (Legal Business Name): HEATHER M BRITTON-SCHRAGER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER M BERRY LMSW

II. Dates (important events)

Enumeration Date: 08/31/2020
Last Update Date: 10/06/2023
Certification Date: 10/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 FORTUNE RD W
MIDDLETOWN NY
10941-1625
US

IV. Provider business mailing address

37 ALPINE DR APT G
WAPPINGERS FALLS NY
12590-5238
US

V. Phone/Fax

Practice location:
  • Phone: 845-673-7123
  • Fax: 845-692-2889
Mailing address:
  • Phone: 845-518-2867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number092053
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: