Provider Demographics
NPI:1639820533
Name:LIN, JINGJING (MSW)
Entity Type:Individual
Prefix:
First Name:JINGJING
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:749 61ST ST STE 504
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-5162
Mailing Address - Country:US
Mailing Address - Phone:718-280-5577
Mailing Address - Fax:
Practice Address - Street 1:749 61ST ST STE 504
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-5162
Practice Address - Country:US
Practice Address - Phone:718-280-5577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker