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NPI Code Detail

MEDICARE: JEREMY SCHWARTZ LCSW PLLC

MEDICARE:   JEREMY  SCHWARTZ  LCSW PLLC
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
11041C0700XClinical Social Worker082507NY

General Provider Information

NPI Number : 1861774705
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY SCHWARTZ LCSW PLLC
Provider Business Mailing Address
First Line : 792 UNION ST FL 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-1307
Country : US
Telephone Number : 917-512-1274
Fax Number :
Provider Business Practice Location Address
First Line : 792 UNION ST FL 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-1307
Country : US
Telephone Number : 917-512-1274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2011
Last Update Date : 04/11/2019

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Directions to “ JEREMY SCHWARTZ LCSW PLLC” Practice Location

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