Healthcare Provider Details

I. General information

NPI: 1053986844
Provider Name (Legal Business Name): ROMINA R BURGER-ERNST LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2021
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 13TH ST APT 2
BROOKLYN NY
11215-4995
US

IV. Provider business mailing address

312 13TH ST APT 2
BROOKLYN NY
11215-4995
US

V. Phone/Fax

Practice location:
  • Phone: 718-551-7503
  • Fax:
Mailing address:
  • Phone: 718-551-7503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number102541-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: