MEDICARE: MRS. SOFIA DOUBININE LCSW

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	070268	NY

General Provider Information

NPI Number	:	1720174840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SOFIA DOUBININE LCSW

Provider Business Mailing Address
First Line	:	7207 FALSTON CIR
Second Line	:
City	:	OLD BRIDGE
State	:	NJ
Zip	:	08857-7002
Country	:	US
Telephone Number	:	646-203-2882
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 CORBIN PL UNIT C1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-4801
Country	:	US
Telephone Number	:	718-331-3800
Fax Number	:

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	09/16/2025

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