=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679373021
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | INGRID ARMET SCHWEN LMSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/14/2025
-----------------------------------------------------
Last Update Date | 03/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 VILLAGE PLAZA
-----------------------------------------------------
City | KINGS PARK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11754-2737
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-647-7807
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 43 GILDARE DR
-----------------------------------------------------
City | EAST NORTHPORT
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11731-3227
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-806-2353
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 121960
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------