Provider Demographics
NPI:1922389626
Name:VINOKUR, NONNA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NONNA
Middle Name:
Last Name:VINOKUR
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 1:515 EAST 7TH STREET
Mailing Address - Street 2:SUITE 6N
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-4817
Mailing Address - Country:US
Mailing Address - Phone:347-554-1518
Mailing Address - Fax:718-535-1390
Practice Address - Street 1:515 EAST 7TH STREET
Practice Address - Street 2:SUITE 6N
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-4817
Practice Address - Country:US
Practice Address - Phone:347-554-1518
Practice Address - Fax:718-382-3358
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-08
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
NY082221-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker