Provider Demographics
NPI:1811204118
Name:LENORA S WINN LCSW PC
Entity Type:Organization
Organization Name:LENORA S WINN LCSW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LENORA
Authorized Official - Middle Name:S
Authorized Official - Last Name:WINN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, PC
Authorized Official - Phone:212-749-7316
Mailing Address - Street 1:7 WEST 96TH ST.
Mailing Address - Street 2:#1F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6514
Mailing Address - Country:US
Mailing Address - Phone:212-749-7316
Mailing Address - Fax:
Practice Address - Street 1:7 WEST 96TH ST.
Practice Address - Street 2:#1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6514
Practice Address - Country:US
Practice Address - Phone:212-749-7316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4916PR1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty