Provider Demographics
NPI:1437232105
Name:WINTER, URSULA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:URSULA
Middle Name:
Last Name:WINTER
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 1:30 GLENN ST STE 205
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-3252
Mailing Address - Country:US
Mailing Address - Phone:914-548-8045
Mailing Address - Fax:
Practice Address - Street 1:30 GLENN ST STE 205
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-3252
Practice Address - Country:US
Practice Address - Phone:914-548-8045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0476871104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
92360OtherLOCAL 1199
P3016412OtherOXFORD
307246OtherMHN
890342202OtherVALUE OPTIONS