Provider Demographics
NPI:1588315311
Name:SCHNEIDER, ERICH ALFRED (LCSW)
Entity type:Individual
Prefix:
First Name:ERICH
Middle Name:ALFRED
Last Name:SCHNEIDER
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 1:6303 BON TERRA DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3844
Mailing Address - Country:US
Mailing Address - Phone:512-592-1374
Mailing Address - Fax:
Practice Address - Street 1:6303 BON TERRA DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3844
Practice Address - Country:US
Practice Address - Phone:512-592-1374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15953101YA0400X
TX1061101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)