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 | | 72 090551 | NEW YORK | No |
| 2 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | 72 090551 | NEW YORK | No |
| 3 | 101YM0800X | Counselor | Mental Health | 72 090551 | NEW YORK | No |
| 4 | 101YP2500X | Counselor | Professional | 72 090551 | NEW YORK | No |
| 5 | 103K00000X | Behavior Analyst | | 72 090551 | NEW YORK | No |
| 6 | 1041C0700X | Social Worker | Clinical | 72 090551 | NEW YORK | No |
| 7 | 171M00000X | Case Manager/Care Coordinator | | 72 090551 | NEW YORK | No |
| 8 | 174H00000X | Health Educator | | 72 090551 | NEW YORK | No |
| 9 | 104100000X | Social Worker | | 72 090551 | NEW YORK | Yes |
