Provider Demographics
NPI:1639944085
Name:PERKOWSKA, EWELINA (LMSW)
Entity Type:Individual
Prefix:
First Name:EWELINA
Middle Name:
Last Name:PERKOWSKA
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 1:5732 CATALPA AVE APT 2R
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-4920
Mailing Address - Country:US
Mailing Address - Phone:347-342-2312
Mailing Address - Fax:
Practice Address - Street 1:5732 CATALPA AVE APT 2R
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-4920
Practice Address - Country:US
Practice Address - Phone:347-342-2312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
NY096751104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No251B00000XAgenciesCase Management