Provider Demographics
NPI:1992889521
Name:SCHULMAN, ALIZA (LCSW)
Entity type:Individual
Prefix:
First Name:ALIZA
Middle Name:
Last Name:SCHULMAN
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 1:7739 CYPRESS CRES
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-4112
Mailing Address - Country:US
Mailing Address - Phone:516-524-0464
Mailing Address - Fax:
Practice Address - Street 1:7739 CYPRESS CRES
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-4112
Practice Address - Country:US
Practice Address - Phone:516-524-0464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW97651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSW9765OtherFLORIDA LICENSED CLINICAL SOCIAL WORKER