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EDWARDS MENTORING AND SOCIAL SERVICES LMSW P.L.L.C. NPI 1366986812


NPI Information

NPI: 1366986812
Provider Name: EDWARDS MENTORING AND SOCIAL SERVICES, LMSW, P.L.L.C.

Doing Business As: EDWARDS MENTORING

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
19005 122ND AVE
SUITE A
SPRINGFIELD GARDENS, NY
ZIP 11413
Phone: (646) 824-5737
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EDWARDS MENTORING AND SOCIAL SERVICES, LMSW, P.L.L.C. is a community behavioral health in Springfield Gardens, NY. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. EDWARDS MENTORING AND SOCIAL SERVICES, LMSW, P.L.L.C. NPI is 1366986812. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Edwards Mentoring.

The provider's business location address is:

19005 122ND AVE
SUITE A
SPRINGFIELD GARDENS, NY
ZIP 11413-010
Phone: (646) 824-5737

The provider's authorized official is Larry D Edwards .
The authorized official title is Founder / Director and has the following contact phone number (646) 824-5737.

The enumeration date for this NPI number is 12/16/2016 and was last updated on 12/16/2016.


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
1101Y00000XCounselor092982NEW YORKNo
2171M00000XCase Manager/Care Coordinator092982NEW YORKNo
3251B00000XCase Management092982NEW YORKNo
4251S00000XCommunity/Behavioral Health092982NEW 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
11699170365MEDICAIDNEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.