Provider Demographics
NPI:1437820248
Name:NEMIROVSKY, YANINA (LMSW)
Entity Type:Individual
Prefix:
First Name:YANINA
Middle Name:
Last Name:NEMIROVSKY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:YANINA
Other - Middle Name:
Other - Last Name:MITELMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:134 N 4TH ST OFC 2168
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-3296
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:134 N 4TH ST OFC 2168
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-3296
Practice Address - Country:US
Practice Address - Phone:646-450-7748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-22
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY114063104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker