Provider Demographics
NPI:1831222561
Name:HANFLING, JONATHAN A (LMSW)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:A
Last Name:HANFLING
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 PLAZA ST E
Mailing Address - Street 2:APT. B10
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-4955
Mailing Address - Country:US
Mailing Address - Phone:718-857-5190
Mailing Address - Fax:718-642-0123
Practice Address - Street 1:20 PLAZA ST E
Practice Address - Street 2:APT. B10
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-4955
Practice Address - Country:US
Practice Address - Phone:718-857-5190
Practice Address - Fax:718-642-0123
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050831-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker