MR. MICHAEL JOSEPH WOODBERRY LMHC CASAC-G CPP NPI 1306166251

NPI Information

NPI: 1306166251
Provider Name: MR. MICHAEL JOSEPH WOODBERRY, LMHC, CASAC-G, CPP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
11103 207TH ST
QUEENS VILLAGE, NY
ZIP 11429
Phone: (347) 256-2591
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MR. Michael Joseph Woodberry, LMHC, CASAC-G, CPP is a mental health counselor in Queens Village, NY. MR. Michael Joseph Woodberry, LMHC, CASAC-G, CPP NPI is 1306166251. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11103 207TH ST
QUEENS VILLAGE, NY
ZIP 11429-707
Phone: (347) 256-2591

The enumeration date for this NPI number is 6/2/2010 and was last updated on 10/20/2015.

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	101Y00000X	Counselor		1054	NEW YORK	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	12650	NEW YORK	No
3	101YM0800X	Counselor	Mental Health	005270	NEW YORK	Yes

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: 4/28/2024

NPI Synchronization or Removal

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