Provider Demographics
NPI:1912191941
Name:LANGMAN, IRINA (LCSW)
Entity Type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:LANGMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 E 88TH ST
Mailing Address - Street 2:APT. 3RW
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-2234
Mailing Address - Country:US
Mailing Address - Phone:212-860-8637
Mailing Address - Fax:
Practice Address - Street 1:39 W 14TH ST
Practice Address - Street 2:SUITE 506
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7489
Practice Address - Country:US
Practice Address - Phone:646-403-8017
Practice Address - Fax:646-403-8017
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-03
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0796611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical