Individual provider Active NPI

Ilana Winter, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1417586785
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
107042 Issued in NY
Practice address
535 Flushing Ave
Brooklyn, NY 11205-1610
Phone
(631) 219-8378
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 107042 NY Primary

Addresses

Primary practice location

535 Flushing Ave
Brooklyn, NY 11205-1610

Mailing address

12 Thorngrove LN
Dix Hills, NY 11746-6709
Phone (631) 219-8378

Other practice location 1

12 Thorngrove Ln
Dix Hills, NY 11746-6709
Phone (631) 219-8378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
107042NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1417586785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 THORNGROVE LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466709",
            "telephone_number": "631-219-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FLUSHING AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051610",
            "telephone_number": "631-219-8378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Thorngrove Ln",
            "address_purpose": "LOCATION",
            "city": "Dix Hills",
            "state": "NY",
            "postal_code": "117466709",
            "country_code": "US",
            "telephone_number": "631-219-8378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTER",
        "first_name": "ILANA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.