Nina Mazurenko, LCSW
Individual provider Active NPI Clinical Social Worker · Brewster, NY
NPI 1609554583 · NPPES record last updated Jul 10, 2023
Key facts
- NPI
- 1609554583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 088185 (NY)
- Practice address
- 426 Brewster Hill Rd
Brewster, NY 10509-3840 - Phone
- (347) 623-2316
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088185 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skillful Life Psychotherapy LCSW | Clinical | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 088185 | NY | Yes |
Addresses
Primary practice location
426 Brewster Hill Rd
Brewster, NY 10509-3840
Mailing address
426 Brewster Hill Rd
Brewster, NY 10509-3840
Phone (347) 623-2316
Other providers in Brewster, NY
- Jane Brownell Maser
- Nicole Mason
- Stacy Reed Mason
- Master Ride, Inc.
- Ashley Marie Matos
- Elizabeth Ann Mazzei
- Tara J McCarthy
- Kathleen Ann McDermott
- Kirsten Marianne McGee
- Elaine Marie McGlinchey
All providers in Brewster, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.