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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | 28520 | NEW YORK | No |
| 2 | 101YM0800X | Counselor | Mental Health | 093601 | NEW YORK | No |
| 3 | 101YP2500X | Counselor | Professional | 093601 | NEW YORK | No |
| 4 | 104100000X | Social Worker | | 093601 | NEW YORK | No |
| 5 | 221700000X | Art Therapist | | 093601 | NEW YORK | No |
| 6 | 172V00000X | Community Health Worker | | 093601 | NEW YORK | No |
| 7 | 171M00000X | Case Manager/Care Coordinator | | 093601 | NEW YORK | Yes |
| 8 | 174H00000X | Health Educator | | 093601 | NEW YORK | No |
| 9 | 405300000X | Prevention Professional | | 28520 | NEW YORK | No |