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INNOVATIVE SOCIAL WORK SERVICES PC NPI 1710929203


NPI Information

NPI: 1710929203
Provider Name: INNOVATIVE SOCIAL WORK SERVICES, PC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
596 E 165TH ST
SUITE A
BRONX, NY
ZIP 10456
Phone: (718) 620-7366
Get Directions

INNOVATIVE SOCIAL WORK SERVICES, PC is a clinical social worker in Bronx, 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. INNOVATIVE SOCIAL WORK SERVICES, PC NPI is 1710929203. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

596 E 165TH ST
SUITE A
BRONX, NY
ZIP 10456-849
Phone: (718) 620-7366
Fax: (718) 893-1635

The provider's authorized official is Michele Balthrope .
The authorized official title is Owner and has the following contact phone number (718) 620-7366.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 8/22/2020.


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 WorkerClinicalR057551NEW YORKYes

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
1162213POTHERNEW YORKHIP (INSURANCE CO)

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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