MEDICARE: MS. JUDITH HELENE SCHAPIRO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	R0199031LCSW	NY

General Provider Information

NPI Number	:	1184720435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JUDITH HELENE SCHAPIRO LCSW

Provider Business Mailing Address
First Line	:	399 EAST 72ND STREET
Second Line	:	APARTMENT 10A
City	:	NEW YORK
State	:	NY
Zip	:	10021
Country	:	US
Telephone Number	:	212-875-1510
Fax Number	:

Provider Business Practice Location Address
First Line	:	142 W END AVE
Second Line	:	#1P
City	:	NEW YORK
State	:	NY
Zip	:	10023-6103
Country	:	US
Telephone Number	:	212-875-1510
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	09/01/2010

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