Healthcare Provider Details

I. General information

NPI: 1659023950
Provider Name (Legal Business Name): SARAH VAYNMAN-KRIEGER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2022
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8023 19TH AVE
BROOKLYN NY
11214-1753
US

IV. Provider business mailing address

128 BOULEVARD APT 13
PASSAIC NJ
07055-4769
US

V. Phone/Fax

Practice location:
  • Phone: 212-420-1970
  • Fax:
Mailing address:
  • Phone: 847-602-8322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL06903700
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number117739-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: