Provider Demographics
NPI:1669628939
Name:GINSBERG, BRYNA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BRYNA
Middle Name:
Last Name:GINSBERG
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 1:7840 SW 86 STREET
Mailing Address - Street 2:#20
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143
Mailing Address - Country:US
Mailing Address - Phone:305-595-6993
Mailing Address - Fax:305-595-6993
Practice Address - Street 1:7840 SW 86 STREET
Practice Address - Street 2:#20
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143
Practice Address - Country:US
Practice Address - Phone:305-595-6993
Practice Address - Fax:305-595-6993
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00004341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical