Provider Demographics
NPI:1558152645
Name:MINAKOV, IRYNA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:IRYNA
Middle Name:
Last Name:MINAKOV
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3380 NOSTRAND AVE APT 1E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4032
Mailing Address - Country:US
Mailing Address - Phone:917-933-4545
Mailing Address - Fax:718-764-1165
Practice Address - Street 1:2034 CROPSEY AVE APT 1B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-6216
Practice Address - Country:US
Practice Address - Phone:646-496-7710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081484104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker