Provider Demographics
NPI:1700551124
Name:MAGAZINER, LINA (LMSW)
Entity Type:Individual
Prefix:
First Name:LINA
Middle Name:
Last Name:MAGAZINER
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 1:28 COVE LN APT 12A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6533
Mailing Address - Country:US
Mailing Address - Phone:646-872-5292
Mailing Address - Fax:
Practice Address - Street 1:28 COVE LN APT 12A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-6533
Practice Address - Country:US
Practice Address - Phone:646-872-5292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY098099104100000X
NY092508104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker