Provider Demographics
NPI:1467675322
Name:WININGER, CHARLES J (LP, LMHC)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:J
Last Name:WININGER
Suffix:
Gender:M
Credentials:LP, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 WASHINGTON AVE
Mailing Address - Street 2:APT. 4C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-1142
Mailing Address - Country:US
Mailing Address - Phone:718-783-3222
Mailing Address - Fax:
Practice Address - Street 1:583 5TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3503
Practice Address - Country:US
Practice Address - Phone:718-783-3222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003977101YM0800X
NY000789102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst