Provider Demographics
NPI:1871602086
Name:SCHLEIFER, SARAH L (LCSW)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:L
Last Name:SCHLEIFER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 PALISADE AVENUE
Mailing Address - Street 2:SUITE #304
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3446
Mailing Address - Country:US
Mailing Address - Phone:201-836-4140
Mailing Address - Fax:201-801-0253
Practice Address - Street 1:870 PALISADE AVENUE
Practice Address - Street 2:SUITE #304
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3446
Practice Address - Country:US
Practice Address - Phone:201-836-4140
Practice Address - Fax:201-801-0253
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC006715001041C0700X
NY0701521 5416361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
646920Medicare ID - Type Unspecified