Provider Demographics
NPI:1992128342
Name:SCHAFFER, JANE (LMSW)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:SCHAFFER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 W 22ND ST
Mailing Address - Street 2:5E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-2600
Mailing Address - Country:US
Mailing Address - Phone:212-807-7028
Mailing Address - Fax:212-807-7028
Practice Address - Street 1:360 W 22ND ST
Practice Address - Street 2:5E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-2600
Practice Address - Country:US
Practice Address - Phone:212-807-7028
Practice Address - Fax:212-807-7028
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0764371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical