Provider Demographics
NPI:1306464466
Name:SCHREIBMAN, TRACI PAULINE (LCSW)
Entity type:Individual
Prefix:
First Name:TRACI
Middle Name:PAULINE
Last Name:SCHREIBMAN
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 1:8527 CASA DEL LAGO BLDG 35A
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-2107
Mailing Address - Country:US
Mailing Address - Phone:440-668-5221
Mailing Address - Fax:
Practice Address - Street 1:8527 CASA DEL LAGO BLDG 35A
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-2107
Practice Address - Country:US
Practice Address - Phone:440-668-5221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW169601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical