Provider Demographics
NPI:1114025517
Name:WINEBURGH, MARSHA L (DSW LCSW)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:L
Last Name:WINEBURGH
Suffix:
Gender:F
Credentials:DSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 WEST END AVE
Mailing Address - Street 2:#1F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-595-6518
Mailing Address - Fax:212-595-6518
Practice Address - Street 1:263 WEST END AVE
Practice Address - Street 2:#1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-595-6518
Practice Address - Fax:212-595-6518
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0047111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNYSR004711OtherLCSW
NYNYSR004711OtherLCSW