Provider Demographics
NPI:1285740274
Name:SCHNEITZER, DALE BARRI
Entity type:Individual
Prefix:MS
First Name:DALE
Middle Name:BARRI
Last Name:SCHNEITZER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DALE
Other - Middle Name:BARRI
Other - Last Name:SCHNEITZER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:205 W 79TH ST
Mailing Address - Street 2:APT 5F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6236
Mailing Address - Country:US
Mailing Address - Phone:917-806-9330
Mailing Address - Fax:
Practice Address - Street 1:138 W 25TH ST
Practice Address - Street 2:8TH FLOOR, ROOM A9
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-7405
Practice Address - Country:US
Practice Address - Phone:917-806-9330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0748891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical