MEDICARE: DINA STEPCARE LCSW, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	071935	NY

General Provider Information

NPI Number	:	1285702456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DINA STEPCARE LCSW, PC

Provider Business Mailing Address
First Line	:	50 BRIGHTON 1ST RD
Second Line	:	15E
City	:	BROOKLYN
State	:	NY
Zip	:	11235-8149
Country	:	US
Telephone Number	:	347-312-4048
Fax Number	:

Provider Business Practice Location Address
First Line	:	1811 QUENTIN RD
Second Line	:	1G
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1343
Country	:	US
Telephone Number	:	718-336-3270
Fax Number	:	718-382-1822

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. DINA MAKAROVA
Credential	:	LCSW
Telephone Number	:	347-312-4048

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	08/22/2020

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