Provider Demographics
NPI:1144861667
Name:WEINREBE, EMILY J (LMSW)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:J
Last Name:WEINREBE
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 1:55 WINTHROP ST APT 2J
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-6052
Mailing Address - Country:US
Mailing Address - Phone:617-777-3006
Mailing Address - Fax:
Practice Address - Street 1:55 WINTHROP ST APT 2J
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-6052
Practice Address - Country:US
Practice Address - Phone:617-777-3006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-06
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0944441041C0700X
NY107323104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker