Provider Demographics
NPI:1134689839
Name:WINT, MIKHAIL SR (MSW)
Entity Type:Individual
Prefix:MR
First Name:MIKHAIL
Middle Name:
Last Name:WINT
Suffix:SR
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 S GOVERNORS BLVD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-5216
Mailing Address - Country:US
Mailing Address - Phone:267-844-3654
Mailing Address - Fax:
Practice Address - Street 1:556 S DUPONT BLVD STE I
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1706
Practice Address - Country:US
Practice Address - Phone:267-844-3654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical