Provider Demographics
NPI:1366891921
Name:SCHWAB, DANIEL C (LCSW)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:C
Last Name:SCHWAB
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1839
Mailing Address - Country:US
Mailing Address - Phone:973-271-4847
Mailing Address - Fax:
Practice Address - Street 1:61 EDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-1839
Practice Address - Country:US
Practice Address - Phone:973-271-4847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-05
Last Update Date:2016-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056841001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical