Provider Demographics
NPI:1104377589
Name:WINSLOW, STEVEN (LSW, LMSW)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:WINSLOW
Suffix:
Gender:M
Credentials:LSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 E 86TH ST
Mailing Address - Street 2:6H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-6441
Mailing Address - Country:US
Mailing Address - Phone:917-679-5222
Mailing Address - Fax:646-448-4485
Practice Address - Street 1:423 E 23RD ST FL 15
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:212-686-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-20
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL061573001041C0700X
NY099484-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical