MEDICARE: SARAH VAYNMAN-KRIEGER LMSW

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	104100000X	Social Worker	00117739	NY
2	104100000X	Social Worker	117739-01	NY
3	104100000X	Social Worker	44SL06903700	NJ

General Provider Information

NPI Number	:	1659023950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH VAYNMAN-KRIEGER LMSW

Provider Business Mailing Address
First Line	:	672 PARKSIDE AVE
Second Line	:	2ND FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11226-1506
Country	:	US
Telephone Number	:	718-246-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	672 PARKSIDE AVE
Second Line	:	2ND FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11226-1506
Country	:	US
Telephone Number	:	718-246-5700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2022
Last Update Date	:	06/03/2026

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