Provider Demographics
NPI:1548411820
Name:NIKULINA, NATALIA (LMSW)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:NIKULINA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 FOSTER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2133
Mailing Address - Country:US
Mailing Address - Phone:718-666-1009
Mailing Address - Fax:718-666-4045
Practice Address - Street 1:198 FOSTER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2133
Practice Address - Country:US
Practice Address - Phone:718-666-1009
Practice Address - Fax:718-666-4045
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY720830241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical