Provider Demographics
NPI:1558693598
Name:NOMI RINKE LCSW P.C.
Entity Type:Organization
Organization Name:NOMI RINKE LCSW P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:RINKE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:516-944-8883
Mailing Address - Street 1:34 LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-2712
Mailing Address - Country:US
Mailing Address - Phone:516-944-8883
Mailing Address - Fax:516-944-8290
Practice Address - Street 1:34 LOCUST AVE
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-2712
Practice Address - Country:US
Practice Address - Phone:516-944-8883
Practice Address - Fax:516-944-8290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR011575-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0078479OtherGHI
NYNO8891Medicare PIN