Individual
ALENA MIRONOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
308 SEAVIEW AVE, STATEN ISLAND, NY 10305-2246
(929) 688-2953
Mailing address
1402 AVENUE K APT 1H, BROOKLYN, NY 11230-4317
(929) 384-5222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
117897-01
NY
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117897-01
NYSED.GOV
NY
Enumeration date
10/14/2022
Last updated
12/23/2025
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