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Charles Myzwinski, LCSW

Social Worker, Clinical in Brooklyn, NY. Individual provider (NPI-1).

NPI number1124124680
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1124124680
Entity type
Individual (NPI-1)
Name
Mr. Charles Myzwinski
Credential
LCSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 15, 2006
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalPR023926-1NYYes

Practice location

45 Plaza St W
Suite 1a
Brooklyn, NY 11217-3952

Phone 718-622-0355 · Fax 718-522-5828

Mailing address

45 Plaza St W
Suite 1a
Brooklyn, NY 11217-3952

Phone 718-622-0355

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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