PRINCESSA GERVAIS (NPI# 1114416559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114416559 |
| Entity Type | Individual |
| Full Name | PRINCESSA GERVAIS |
| Practice Address |
21232 113th Ave Queens Village NY 11429-2318 |
| Practice Telephone | 3474000145 |
| Mailing Telephone | 3474000145 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 0996571 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0996571 | NY | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
0996571 | NY | Behavioral Health & Social Service Providers |
| Street Address |
21232 113TH AVE |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11429-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106199 | Cynthia Joseph | Nutritionist | 100-11 208th Street, Queens Village, NY 11429 | 2020-02-13 |
| 1457917338 | Latoya Coleman | Social Worker | 111-41 Colfax Street, Queens Village, NY 11429 | 2019-05-15 |
| 1194294801 | Nats Ny Inc | Pharmacy | 10311 Springfield Blvd, Queens Village, NY 11429 | 2018-11-26 |
| 1912430901 | Firmause Payen | Specialist | 98-35 211th Street, Queens Village, NY 11429 | 2017-04-06 |
| 1891238515 | Kristen Joassaint | Licensed Practical Nurse | 99-09 217th Lane, Queens Village, NY 11429 | 2016-11-29 |
| 1538615877 | Melissa Glenn | Social Worker | 221-26 111th Ave, Queens Village, NY 11429 | 2016-08-28 |
| 1295190627 | Apak Chiropractic | Chiropractor | 218-02 Hempstead Avenue, 2nd Floor, Queens Village, NY 11429 | 2015-12-30 |
| 1548636996 | Donetta Thomas | Licensed Practical Nurse | 20940 111th Avenue, Queens Village, NY 11429 | 2015-08-19 |
| 1407222920 | Elizabeth O Shodimu | Nutritionist | 110-16 Sutphin Blvd, 111-08 Witthoff Street, Queen's Village, NY 11429 | 2015-08-19 |
| 1669869582 | Koffi Kodoe | Skilled Nursing Facility | 21223 Hollis Ave, Queens Village, NY 11429 | 2015-04-17 |
| Find all providers in zip 11429 | ||||
| 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 |
|---|---|---|---|---|
| 1700279189 | Marie Lourdes Museau | Social Worker | 10729 Springfield Blvd, Queens Village, NY 11429-2036 | 2015-03-10 |
| 1619396710 | Esther Byers | Social Worker | 21103a Hillside Ave, Queens Village, NY 11427-1718 | 2014-04-16 |
| 1427488493 | Elizabeth Gormezano | Social Worker | 80-09 Winchester Blvd., Lifeline Center for Child Development, Queens Village, NY 11427 | 2013-11-12 |
| 1467791707 | Deborah Ellen Stills | Social Worker | 7925 Winchester Blvd Bldg 40, Queens Village, NY 11427-2128 | 2013-02-06 |
| 1962657064 | Ralph Soto | Social Worker | 220-34 93rd Road, Queens Village, NY 11428 | 2008-11-18 |
| 1053500132 | Brenda Cay | Social Worker | 9323 218th St, Queens Village, NY 11428-1844 | 2007-10-15 |
| 1245360189 | Adalgiza Sandoval | Social Worker | 9029 218th Pl, Queens Village, NY 11428-1336 | 2007-03-07 |
| 1063992345 | Psychotherapy Lcsw PC | Social Worker | 9029 218th Pl, Queens Village, NY 11428-1336 | 2018-08-16 |
| 1528576543 | Doreen E Weinstein | Social Worker | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-01-11 |
| 1770090847 | Claudia Berkowicz | Social Worker | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-01-10 |
| Find all providers in QUEENS VILLAGE | ||||
| City | QUEENS VILLAGE |
| Zip Code | 11429 |
Please comment or provide details below to improve the information on PRINCESSA GERVAIS.
| 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.