Estela B Divino, LCSW
Social Worker, Clinical in Brooklyn, NY. Individual provider (NPI-1).
NPI number1235340613
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1235340613
- Entity type
- Individual (NPI-1)
- Name
- Estela B Divino
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 25, 2007
- 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R047271 | NY | Yes |
Practice location
1438 E 26th StBrooklyn, NY 11210-5233
Phone 718-258-5317
Mailing address
183 Raff AveMineola, NY 11501-3223
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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