Provider Demographics
NPI:1215570031
Name:GINSBURG, KATHRYN ASHLEY (LMSW)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ASHLEY
Last Name:GINSBURG
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 GARFIELD PL APT 5F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-2139
Mailing Address - Country:US
Mailing Address - Phone:551-486-2423
Mailing Address - Fax:
Practice Address - Street 1:9201 4TH AVE STE 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7066
Practice Address - Country:US
Practice Address - Phone:718-232-8600
Practice Address - Fax:718-228-5556
Is Sole Proprietor?:No
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY107863104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker