Provider Demographics
NPI:1598093528
Name:DENISENKO, NADI (LMHC, LMFT)
Entity Type:Individual
Prefix:
First Name:NADI
Middle Name:
Last Name:DENISENKO
Suffix:
Gender:F
Credentials:LMHC, LMFT
Other - Prefix:
Other - First Name:NADEZHDA
Other - Middle Name:
Other - Last Name:DENISENKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, LMFT
Mailing Address - Street 1:576 73RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-2612
Mailing Address - Country:US
Mailing Address - Phone:917-533-6630
Mailing Address - Fax:
Practice Address - Street 1:6415 BAY PKWY
Practice Address - Street 2:NEW YORK PHYCIATRIC SERVICES
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-3947
Practice Address - Country:US
Practice Address - Phone:718-331-3800
Practice Address - Fax:718-331-3387
Is Sole Proprietor?:No
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00310300101YM0800X
NY12206101YA0400X
NY0029011101YM0800X
NY0005241106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist