Healthcare Provider Details

I. General information

NPI: 1639799216
Provider Name (Legal Business Name): BROOKLYN 38 LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2020
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 FOSTER AVE STE B
BROOKLYN NY
11230-2130
US

IV. Provider business mailing address

202 FOSTER AVE STE B
BROOKLYN NY
11230-2130
US

V. Phone/Fax

Practice location:
  • Phone: 917-414-8676
  • Fax: 718-387-6429
Mailing address:
  • Phone: 917-414-8676
  • Fax: 718-387-6429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State

VIII. Authorized Official

Name: IRWIN LENEFSKY
Title or Position: CEO
Credential: LCSW
Phone: 917-414-8676