LONG ISLAND CONSULTATION CENTER, INC. (NPI# 1295878577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295878577 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND CONSULTATION CENTER, INC. |
| Practice Address |
9131 Queens Blvd Ste 222 Elmhurst NY 11373-5511 |
| Practice Telephone | 7188963400 |
| Practice Fax Number | 7184595621 |
| Mailing Telephone | 7188963400 |
| Mailing Fax Number | 7184595621 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2016-11-02 |
| Authorized Official Name | MS. ELAINE LEDERER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7188963400 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
090210852 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6715100A | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00244019 | 05 |
| Street Address |
9131 QUEENS BLVD STE 222 |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-5511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412646 | Murielle Castillo | Social Worker | 9131 Queens Blvd Ste 222, Elmhurst, NY 11373-5511 | 2019-05-14 |
| 1831672914 | Gianpaul Hernandez | Social Worker | 9131 Queens Blvd Ste 222, Elmhurst, NY 11373-5511 | 2018-09-13 |
| 1386120970 | Venaida Tonia Williams | Counselor | 9131 Queens Blvd Ste 222, Elmhurst, NY 11373-5511 | 2018-07-17 |
| 1023509023 | Mitra Rebecca Harounian | Social Worker | 9131 Queens Blvd Ste 222, Elmhurst, NY 11373-5511 | 2018-05-24 |
| 1275031072 | Christina Cavina Clarke | Social Worker | 9131 Queens Blvd Ste 222, Elmhurst, NY 11373-5511 | 2018-01-26 |
| 1760995955 | Walthride Mary Guerrier | Social Worker | 9131 Queens Blvd Ste 222, Elmhurst, NY 11373-5511 | 2017-11-09 |
| 1720521131 | Toni Luck | Counselor | 9131 Queens Blvd Ste 222, Elmhurst, NY 11373-5511 | 2016-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| 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 |
|---|---|---|---|---|
| 1093372047 | Alyssa Marie Paterakis | Social Worker | 334 N Oak St, Elmhurst, IL 60126-2212 | 2019-05-24 |
| 1164992467 | Giovanny C. Lopez | Social Worker | 7901 Broadway # H3-62, Elmhurst, NY 11373-1329 | 2018-11-29 |
| 1972011211 | Lisa Marie Marcus | Social Worker | 244 S Oakland Grv, Elmhurst, IL 60126-3052 | 2018-01-22 |
| 1124539002 | Gladys Esther Garcia | Social Worker | 9131 Queens Blvd Ste 212, Elmhurst, NY 11373-5511 | 2017-10-18 |
| 1215473285 | Adam Apostolovich | Social Worker | 163 E Jackson St, Elmhurst, IL 60126-5145 | 2017-01-13 |
| 1881130474 | Kristine Hudzik | Social Worker | 110 E Schiller St Ste 232, Elmhurst, IL 60126-2895 | 2017-01-06 |
| 1336524321 | Christy Poli | Social Worker | 200 N Addison Ave Unit 206, Elmhurst, IL 60126-2799 | 2015-07-20 |
| 1760874192 | Rebecca Ann Deurance | Social Worker | 428 S Kenilworth Ave, Elmhurst, IL 60126-3929 | 2015-02-23 |
| 1164812244 | Rosemary Spizzirri II | Social Worker | 116 S York St, Elmhurst, IL 60126-3432 | 2015-01-28 |
| 1982950408 | Martin Alonso Alvarez-villada | Social Worker | 4045 75th St Fl 2, Elmhurst, NY 11373-1011 | 2012-08-02 |
| Find all providers in ELMHURST | ||||
Please comment or provide details below to improve the information on LONG ISLAND CONSULTATION CENTER, INC..
| 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.