Provider Demographics
NPI:1861754061
Name:GODINA, IRINA (MSW)
Entity type:Individual
Prefix:MRS
First Name:IRINA
Middle Name:
Last Name:GODINA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 AVENUE V APT 4D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4525
Mailing Address - Country:US
Mailing Address - Phone:718-743-7331
Mailing Address - Fax:
Practice Address - Street 1:1820 AVENUE V APT 4D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4525
Practice Address - Country:US
Practice Address - Phone:718-743-7331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker