MEDICARE: SARAH SCHWARTZ LMSW

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	1041C0700X	Clinical Social Worker	109916	NY

General Provider Information

NPI Number	:	1669117628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH SCHWARTZ LMSW

Provider Business Mailing Address
First Line	:	25 CHAPEL ST STE 701
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-1917
Country	:	US
Telephone Number	:	718-858-9658
Fax Number	:	718-858-9670

Provider Business Practice Location Address
First Line	:	25 CHAPEL ST STE 701
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-1917
Country	:	US
Telephone Number	:	718-858-9658
Fax Number	:	718-858-9670

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

Provider Enumeration Date	:	05/03/2022
Last Update Date	:	05/16/2022

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