Provider Demographics
NPI:1649777590
Name:EISENSTEIN, TZIPORAH (LCSW)
Entity Type:Individual
Prefix:
First Name:TZIPORAH
Middle Name:
Last Name:EISENSTEIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 PROSPECT PARK WEST SUITE 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215
Mailing Address - Country:US
Mailing Address - Phone:401-684-3083
Mailing Address - Fax:718-228-8819
Practice Address - Street 1:207 PROSPECT PARK WEST SUITE 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215
Practice Address - Country:US
Practice Address - Phone:401-684-3083
Practice Address - Fax:718-228-8819
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-08
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY099098-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical