Ireen Miras Ninonuevo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076825 Issued in NY

Practice address

80 5TH Ave Ofc 2004-6
New York, NY 10011

Phone

(929) 506-5062

NPI assigned

Aug 24, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861919359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 WALL ST STE 787",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100054301",
            "telephone_number": "929-506-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 5TH AVE OFC 2004-6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "929-506-5062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1831 Madison Ave Apt 4M",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100352753",
            "country_code": "US",
            "telephone_number": "917-549-5865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 5th Ave Ofc 2004-6",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10011",
            "country_code": "US",
            "telephone_number": "929-506-5062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NINONUEVO",
        "first_name": "IREEN",
        "middle_name": "MIRAS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josip Nincevic
• Ning-Yen Yao MD PC
• Shyanne Ninham, LMHC
• Santiago Nino Basto, M.D.
• Nino Marino Physician LLC
• Kusuma Nio, M.D.
• Sumit Narayan Niogi, M.D., PH.D.
• Jackie Nemo Nioh, LCSW
• Athanasios Nioplias, LMHC
• Nios Spa

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.