Provider Demographics
NPI:1659063501
Name:PINCKNEY, COURTNEY P (MSW)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:P
Last Name:PINCKNEY
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 E 28TH ST APT 4
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-5584
Mailing Address - Country:US
Mailing Address - Phone:929-568-7688
Mailing Address - Fax:
Practice Address - Street 1:83 E 28TH ST APT 4
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-5584
Practice Address - Country:US
Practice Address - Phone:929-568-7688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker