Provider Demographics
NPI:1881984490
Name:SCHWIMMER, SAMANTHA (LCSW)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:SCHWIMMER
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 1:155 W 68TH ST
Mailing Address - Street 2:APT 23 G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5808
Mailing Address - Country:US
Mailing Address - Phone:551-206-5866
Mailing Address - Fax:
Practice Address - Street 1:65 CENTRAL PARK W
Practice Address - Street 2:SUITE 1 D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6007
Practice Address - Country:US
Practice Address - Phone:551-206-5866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-15
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0782871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical