Provider Demographics
NPI:1205974375
Name:DOMBROWSKI LOSINNO, NANCY (LCSW)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:DOMBROWSKI LOSINNO
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 1:2551 S SEAMANS NECK RD
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-3211
Mailing Address - Country:US
Mailing Address - Phone:516-679-9017
Mailing Address - Fax:516-679-9017
Practice Address - Street 1:2551 S SEAMANS NECK RD
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-3211
Practice Address - Country:US
Practice Address - Phone:516-241-4598
Practice Address - Fax:516-241-4598
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR022476-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00580Medicare ID - Type Unspecified