Provider Demographics
NPI:1053878082
Name:SCHONFIELD, ALEXIS ELIANA (LCSW)
Entity type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:ELIANA
Last Name:SCHONFIELD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ALEXIS
Other - Middle Name:ELIANA
Other - Last Name:SCHONFIELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:271 NERSESIAN RD
Mailing Address - Street 2:
Mailing Address - City:HARTWICK
Mailing Address - State:NY
Mailing Address - Zip Code:13348-2903
Mailing Address - Country:US
Mailing Address - Phone:315-777-5680
Mailing Address - Fax:
Practice Address - Street 1:271 NERSESIAN RD
Practice Address - Street 2:
Practice Address - City:HARTWICK
Practice Address - State:NY
Practice Address - Zip Code:13348
Practice Address - Country:US
Practice Address - Phone:315-777-5680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-26
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0947821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical