Healthcare Provider Details

I. General information

NPI: 1770497281
Provider Name (Legal Business Name): DANA STERN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 CLINTON ST APT 3A
BROOKLYN NY
11201-6164
US

IV. Provider business mailing address

290 CLINTON ST APT 3A
BROOKLYN NY
11201-6164
US

V. Phone/Fax

Practice location:
  • Phone: 617-894-3392
  • Fax:
Mailing address:
  • Phone: 617-894-3392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number132314
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: