Healthcare Provider Details

I. General information

NPI: 1124498480
Provider Name (Legal Business Name): SABINE PAUL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2015
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

367 SAINT MARKS AVE # 1280
BROOKLYN NY
11238-2268
US

IV. Provider business mailing address

367 SAINT MARKS AVE # 1280
BROOKLYN NY
11238-2268
US

V. Phone/Fax

Practice location:
  • Phone: 646-580-8026
  • Fax: 646-786-3941
Mailing address:
  • Phone: 646-580-8026
  • Fax: 646-786-3941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC019907
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number094932
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number117297
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberTPSW2976
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number31580
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: