Ksenia Makarova, LMSW
Social Worker in New York, NY. Individual provider (NPI-1).
NPI number1114596129
StatusActive
Last updated in NPPESJun 23, 2021
Details
- NPI
- 1114596129
- Entity type
- Individual (NPI-1)
- Name
- Ksenia Makarova
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 23, 2021
- Certification date
- Jun 23, 2021
- Last updated
- Jun 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 104284-01 | NY | Yes |
Practice location
400 W 37th St Apt 10fNew York, NY 10018-5630
Phone 845-857-6826
Mailing address
53 Lexington DrNewburgh, NY 12550-1293
Phone 845-857-6826
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