Provider Demographics
NPI:1134483571
Name:WEINGARTEN, HARRY SHIMSHON (LCSW)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:SHIMSHON
Last Name:WEINGARTEN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 56TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4549
Mailing Address - Country:US
Mailing Address - Phone:718-851-8252
Mailing Address - Fax:
Practice Address - Street 1:1265 56TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4549
Practice Address - Country:US
Practice Address - Phone:718-851-8252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY73-0797701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical