Basic Information
Provider Information
NPI: 1598302184
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LINSKER
FirstName: ER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LMSW, MFA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 32 COURT STREET
Address2: SUITE 1901, OFFICE 8
City: BROOKLYN
State: NY
PostalCode: 11201
CountryCode: US
TelephoneNumber: 9146026285
FaxNumber:  
Practice Location
Address1: 148 WILSON AVE
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112378042
CountryCode: US
TelephoneNumber: 3474748464
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/03/2019
LastUpdateDate: 09/24/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/24/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000X10793801NYY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


Home