Provider Demographics
NPI:1265947444
Name:LIND, GABRIELLE STEINHARDT (LMSW)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:STEINHARDT
Last Name:LIND
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 PROSPECT PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-2804
Mailing Address - Country:US
Mailing Address - Phone:347-770-7631
Mailing Address - Fax:
Practice Address - Street 1:92 PROSPECT PL
Practice Address - Street 2:GARDEN LEVEL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217
Practice Address - Country:US
Practice Address - Phone:347-770-7631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-09
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102020-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical