| Doctor Name: | JEFFREY ALAN SCHNEIDER |
| NPI Number: | 1023178605 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICSW |
| License Number: | ISW02147 |
| Business Practice Address: | 202 Pomfret St Putnam, CT - 062601833 |
| Business Phone Number: | 8609637917 |
| Business Fax Number: | 8609630015 |
| Mailing Address: | 202 Pomfret St, PUTNAM |
| State: | CT |
| Postal Code: | 062601833 |
| Phone Number: | 8609637917 |
| Fax Number: | 8609630015 |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 10/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | ISW02147 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |