Provider Demographics
NPI:1275760233
Name:WINSTON, LOIS M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LOIS
Middle Name:M
Last Name:WINSTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 E 55TH ST
Mailing Address - Street 2:#16F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5136
Mailing Address - Country:US
Mailing Address - Phone:212-371-0069
Mailing Address - Fax:
Practice Address - Street 1:404 E 55TH ST
Practice Address - Street 2:#16F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5136
Practice Address - Country:US
Practice Address - Phone:212-371-0069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR 79201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPR7920OtherNEW YORK STATE LICENSE #