Provider Demographics
NPI:1457440026
Name:SORKIN, IRA BARRY (MSW, LCSW-R)
Entity Type:Individual
Prefix:MR
First Name:IRA
Middle Name:BARRY
Last Name:SORKIN
Suffix:
Gender:M
Credentials:MSW, LCSW-R
Other - Prefix:MR
Other - First Name:I. BARRY
Other - Middle Name:
Other - Last Name:SORKIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LCSW-R
Mailing Address - Street 1:252 W 30TH ST APT 10B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-4902
Mailing Address - Country:US
Mailing Address - Phone:917-538-7002
Mailing Address - Fax:
Practice Address - Street 1:19 W 34TH ST
Practice Address - Street 2:PENTHOUSE FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3006
Practice Address - Country:US
Practice Address - Phone:917-538-7002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLCSW R0458291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical