Provider Demographics
NPI:1992943088
Name:SWARTZ, BETH ALLISON (LMSW)
Entity type:Individual
Prefix:MS
First Name:BETH
Middle Name:ALLISON
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:BETH
Other - Middle Name:ALLISON
Other - Last Name:ZETLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:1793 RIVERSIDE DR
Mailing Address - Street 2:#5C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-5335
Mailing Address - Country:US
Mailing Address - Phone:646-533-8017
Mailing Address - Fax:718-901-8864
Practice Address - Street 1:1276 FULTON AVE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-3402
Practice Address - Country:US
Practice Address - Phone:718-901-6112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0544591104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker