Provider Demographics
NPI:1285777938
Name:SCHWAM SPIELBERG, JOAN (LCSWR)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:
Last Name:SCHWAM SPIELBERG
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:MS
Other - First Name:JONI
Other - Middle Name:
Other - Last Name:SCHWAM SPIELBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:61 CALVIN AVE
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-2136
Mailing Address - Country:US
Mailing Address - Phone:516-364-1966
Mailing Address - Fax:516-364-1966
Practice Address - Street 1:61 CALVIN AVE
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-2136
Practice Address - Country:US
Practice Address - Phone:516-364-1966
Practice Address - Fax:516-364-1966
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0400181LCSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical