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CHILD CENTER OF NEW YORK NPI 1033467014


NPI Information

NPI: 1033467014
Provider Name: CHILD CENTER OF NEW YORK
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
11515 SUTPHIN BLVD
JAMAICA, NY
ZIP 11434
Phone: (718) 659-4000
Get Directions

CHILD CENTER OF NEW YORK is a clinical social worker in Jamaica, NY. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. CHILD CENTER OF NEW YORK NPI is 1033467014. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11515 SUTPHIN BLVD
JAMAICA, NY
ZIP 11434-020
Phone: (718) 659-4000

The provider's authorized official is Racquel Jones .
The authorized official title is Therapist and has the following contact phone number (718) 659-4000.

The enumeration date for this NPI number is 8/22/2012 and was last updated on 9/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100244371MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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