Provider Demographics
NPI:1740565696
Name:WOLOFSKY, JUDITH YEHUDIS (LMSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:YEHUDIS
Last Name:WOLOFSKY
Suffix:
Gender:F
Credentials:LMSW, LCSW
Other - Prefix:MRS
Other - First Name:JUDITH
Other - Middle Name:YEHUDIS
Other - Last Name:WOLOFSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW, LCSW
Mailing Address - Street 1:145 W 15TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-6701
Mailing Address - Country:US
Mailing Address - Phone:718-208-0792
Mailing Address - Fax:
Practice Address - Street 1:4015 15TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-4528
Practice Address - Country:US
Practice Address - Phone:718-208-0792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079960-11041C0700X
NY0814411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical