Provider Demographics
NPI:1174732390
Name:GORINSHTEYN, DARYA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DARYA
Middle Name:
Last Name:GORINSHTEYN
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 1:920 48TH ST
Mailing Address - Street 2:MAIMONIDES DEPARTMENT OF PSYCHIATRY
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2918
Mailing Address - Country:US
Mailing Address - Phone:718-283-6126
Mailing Address - Fax:
Practice Address - Street 1:920 48TH ST
Practice Address - Street 2:MAIMONIDES DEPARTMENT OF PSYCHIATRY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2918
Practice Address - Country:US
Practice Address - Phone:718-283-6126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072590-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical