MEDICARE: CRYSTAL SING SCHAEFFER 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	1041C0700X	Clinical Social Worker	TPSW6537	FL
2	1041C0700X	Clinical Social Worker	101385	NY
3	1041C0700X	Clinical Social Worker	23390	AZ

General Provider Information

NPI Number	:	1801476395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL SING SCHAEFFER LCSW

Provider Business Mailing Address
First Line	:	11 GRANITE ST APT 2B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-3369
Country	:	US
Telephone Number	:	917-533-2218
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 GRANITE ST APT 2B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-3369
Country	:	US
Telephone Number	:	917-924-0118
Fax Number	:

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

Provider Enumeration Date	:	04/09/2021
Last Update Date	:	05/08/2026

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