IV Licensed Clinical Social Work P.C.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

069657 Issued in NY

Legal business name

IV LICENSED CLINICAL SOCIAL WORK P.C.

Practice address

4812 Bedford Ave
Apt 1a
Brooklyn, NY 11235-8603

Phone

(718) 234-1212

NPI assigned

Jul 18, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Irina Voskoboynik, LCSW-RNPI 1457371783

Title

President

Phone

(718) 288-4770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irina Voskoboynik, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1457371783
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1295188076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 BEDFORD AVE",
            "address_2": "APT 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358603",
            "telephone_number": "718-234-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 BEDFORD AVE",
            "address_2": "APT 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358603",
            "telephone_number": "718-234-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IV LICENSED CLINICAL SOCIAL WORK P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "VOSKOBOYNIK",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-288-4770",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": "069657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Itzkowitz, OTR/L
• Shira Itzkowitz
• Sylvia Itzkowitz
• Victoria Elizabeth Iuni, OTR/L
• IV Kids Inc
• IV Medical New York, PLLC
• Natalya Ivanina
• Lesya Ivankiv, FNP
• Igor Ivankov
• Alexander Ivanov, MD

• Adolescent and Children Mental Health Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adolescent and Children Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.