Provider Demographics
NPI:1225574106
Name:MADELINE BELKIN, LCSW
Entity Type:Organization
Organization Name:MADELINE BELKIN, LCSW
Other - Org Name:PRIVATE PRACTICE
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED CERTIFIED SOCIAL WORKERS
Authorized Official - Prefix:MS
Authorized Official - First Name:MADELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELKIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:718-783-8199
Mailing Address - Street 1:50 PLAZA ST E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-5041
Mailing Address - Country:US
Mailing Address - Phone:718-783-8199
Mailing Address - Fax:
Practice Address - Street 1:83 8TH AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-1579
Practice Address - Country:US
Practice Address - Phone:917-566-2284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-16
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0297241R251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0287241ROtherNON INSURANCE PROVIDER