Provider Demographics
NPI:1972221414
Name:PIERRE, NINA KAROL (LMSW, CASAC MC)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:KAROL
Last Name:PIERRE
Suffix:
Gender:F
Credentials:LMSW, CASAC MC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 8TH AVENUE
Mailing Address - Street 2:FRNT 3 #1574
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018
Mailing Address - Country:US
Mailing Address - Phone:347-903-0560
Mailing Address - Fax:248-243-8943
Practice Address - Street 1:500 8TH AVENUE
Practice Address - Street 2:FRNT 3 #1574
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018
Practice Address - Country:US
Practice Address - Phone:347-903-0560
Practice Address - Fax:248-243-8943
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-19
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY32183101YA0400X
NY1128251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)