AFF PSYCHOTHERAPY (NPI# 1043554769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043554769 |
| Entity Type | Organization |
| Organization Name | AFF PSYCHOTHERAPY |
| Practice Address |
1953 Richmond Ter Staten Island NY 10302-1201 |
| Practice Telephone | 3473206420 |
| Practice Fax Number | 3474138836 |
| Mailing Telephone | 3473206420 |
| Mailing Fax Number | 3474138836 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |
| Authorized Official Name | DELSA FAUCONIER (DIRECTOR) |
| Authorized Official Telephone | 3477714128 |
| Authorized Official Credential | LCSW-R |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
075416 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1953 RICHMOND TER |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10302-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154572469 | Delsa Johnson Fauconier | Social Worker | 1953 Richmond Ter, Staten Island, NY 10302-1201 | 2008-10-06 |
| 1205257417 | Affective Lcsw Services Pllc | Social Worker | 1953 Richmond Ter, Staten Island, NY 10302-1201 | 2013-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494174 | Denasia Fitch | Student in an Organized Health Care Education/Training Program | 80 Willowbrook Rd, Staten Island, NY 10302 | 2019-08-26 |
| 1548752983 | Lawan Rickenbacker | Counselor | 28 Treadwell Ave, Staten Island, NY 10302 | 2018-06-01 |
| 1275059321 | Omolara Rachael Adediji | Nurse Practitioner | 210 Trantor Place, Apt 1d, Staten Island, NY 10302 | 2017-08-21 |
| 1558893479 | Joseph Wilson | Substance Abuse Rehabilitation Facility | 273 Heberton Avenue, Staten Island, NY 10302 | 2017-03-30 |
| 1902358864 | Natalie Valencia Toney-zubairu | Nurse Practitioner | Community Health Center of Richmond, 235 Port Richmond Ave, Staten Island, NY 10302 | 2016-10-26 |
| 1912453788 | Adewunmi Bankole | Registered Nurse | 124 Nicholas Avenue Apt B, Staten Island, NY 10302 | 2016-08-31 |
| 1154788974 | Eileen Patricia Cameron | Counselor | 263-267 Port Richmond Aveune, Staten Island, NY 10302 | 2016-01-25 |
| 1225468432 | Total Dental Care of Staten Island, P.C. | Dentist | 135 Willowbrook Road, Staten Island, NY 10302 | 2013-11-25 |
| 1760723621 | Si. Senior Lifestyle Center Inc | Clinic/Center | 98 Port Richmond Ave, Staten Island, NY 10302 | 2013-03-01 |
| 1962751255 | Kathleen Gomez-rodriguez | Speech-Language Pathologist | 12 Crystal Ave, Staten Island, NY 10302 | 2012-09-03 |
| Find all providers in zip 10302 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871781 | Samantha Rizzo-bohsali | Social Worker | 20 Clermont Pl, Staten Island, NY 10314-4020 | 2020-11-05 |
| 1770197543 | Robin E Fenley | Social Worker | 223 Mountainview Ave, Staten Island, NY 10314-5315 | 2020-08-31 |
| 1598378341 | Lori Beth Howe | Social Worker | 69 Maine Ave, Staten Island, NY 10314-2316 | 2020-08-30 |
| 1518581487 | Stephen Krysztoforski | Social Worker | 51 Alverson Loop, Staten Island, NY 10309-1748 | 2020-06-05 |
| 1720601743 | Mary L Williams | Social Worker | 693 Pelton Ave, Staten Island, NY 10310-3139 | 2020-05-26 |
| 1316585979 | Cassandra Lauletti | Social Worker | 88 New Dorp Plz S Ste 203, Staten Island, NY 10306-2902 | 2019-12-13 |
| 1427602846 | Mc Queen and Otuyelu Lcsw Wellness | Social Worker | 941 Forest Avenue, Staten Island, NY 10310 | 2019-07-25 |
| 1326601709 | Bruce Monteleon | Social Worker | 173 Maine Avenue, Staten Island, NY 10314-1031 | 2019-04-21 |
| 1407331218 | Cassedy Jene Rymer | Social Worker | 105 Hamilton Ave Rm 116, Staten Island, NY 10301-1610 | 2018-09-27 |
| 1720561996 | Yazmin Iris Perez | Social Worker | 358 Saint Marks Pl Fl 4, Staten Island, NY 10301-2417 | 2018-09-12 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10302 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.