Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Nina Statman, LCSW

Individual provider Clinical Social Worker · NPI 1104219583

Mrs. Nina Statman, LCSW is a Clinical Social Worker in Brooklyn, New York. Qualified in 2014, 12 years ago. Practices with Mass General Brigham Community Physicians Inc, a 422-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia, Massachusetts and New York.

Years since qualifying
12
Licensed in
DC, MA, NY
In the registry since
2015
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

6209 16th Ave
Brooklyn, NY 11204-2702
Phone: (718) 234-0073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1350 Connecticut Ave Nw, Washington, DC 20036-1722 — (415) 658-6791
  • 53 State St, Boston, MA 02109-2820 — (617) 903-5000

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 094010-1 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 125121 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LC200001961 (DC)

Record details

NPI number1104219583
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 10, 2015
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mass General Brigham Community Physicians Inc — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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