Provider Demographics
NPI:1962772343
Name:RISHER, SCHIMIKA SCHNYL (LMSW)
Entity type:Individual
Prefix:MS
First Name:SCHIMIKA
Middle Name:SCHNYL
Last Name:RISHER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:SCHIMIKA
Other - Middle Name:SCHNYL
Other - Last Name:RISHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:789 MACDONOUGH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-1657
Mailing Address - Country:US
Mailing Address - Phone:803-414-4745
Mailing Address - Fax:
Practice Address - Street 1:548 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-3052
Practice Address - Country:US
Practice Address - Phone:718-282-0777
Practice Address - Fax:718-282-2727
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY083098104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker