CONNIE DOUGLAS LCSW (NPI# 1407242753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407242753 |
| Entity Type | Organization |
| Organization Name | CONNIE DOUGLAS LCSW |
| Practice Address |
49 Main St Apt 1 Irvington NY 10533-1537 |
| Mailing Address |
293 Benedict Ave C/o The Hackley School Tarrytown NY 10591-4327 |
| Practice Telephone | 9144069647 |
| Mailing Telephone | 9144069647 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |
| Authorized Official Name | CONSTANCE DOUGLAS (PRESIDENT) |
| Authorized Official Telephone | 9144069647 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
071290 | NY | Behavioral Health & Social Service Providers |
| Street Address |
49 MAIN ST APT 1 |
| City | IRVINGTON |
| State | NY |
| Zip Code | 10533-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548538150 | Andrea Grundstein | Specialist | 6 Dows Lane, Irvington, NY 10533 | 2011-12-09 |
| 1083928535 | Nancy Jean Rogers | Speech-Language Pathologist | 115 Sunnyside View, Irvington, NY 10533 | 2010-07-27 |
| 1427279694 | Dody Chang | Acupuncturist | One Bridge Street, Suite 22, Irvington, NY 10533 | 2007-05-02 |
| 1316962475 | Jennifer G Schneider | Acupuncturist | 1 Hugh Hill Ln, Irvington, NY 10533 | 2006-07-12 |
| 1396728176 | Andrew S Cloutman | Physical Therapist | 8 Aqueduct Lane, Irvington, NY 10533 | 2005-11-25 |
| 1740699859 | Westchester Apothecary LLC | Pharmacy | 104 Main Street, Irvington, NY 10533 | 2014-08-04 |
| 1730322934 | Abbott House | Foster Care Agency | 100 North Broadway, Irvington, NY 10533 | 2009-04-17 |
| 1386887529 | Abbott House | Foster Care Agency | 100 North Broadway, Irvington, NY 10533 | 2009-04-17 |
| 1609089218 | Rivertown Physical Therapy, Pllc | Physical Therapist | 8 Aqueduct Lane, Irvington, NY 10533 | 2007-05-08 |
| 1508373341 | Sanaa Hyder | Counselor | 7 Algonquin Dr, Irvington, NY 10533-1007 | 2018-01-02 |
| Find all providers in zip 10533 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386273571 | The Rejuvenation Space LLC | Counselor | 230 40th St, Irvington, NJ 07111-1149 | 2020-04-08 |
| 1548891187 | Elsa E Thompson | Counselor | 520 Nye Ave, Irvington, NJ 07111-3511 | 2020-02-02 |
| 1053963827 | Bernadine Akunna Nwoga II | Counselor | 63 Kuna Ter, Irvington, NJ 07111-2941 | 2019-07-11 |
| 1427201565 | David L Matthew | Counselor | 184 S Buckhout St, Irvington, NY 10533-2207 | 2008-11-03 |
| 1720295173 | Naomi Nunokawa Fensterstock | Counselor | 120 N Broadway, Apt 8b, Irvington, NY 10533-1239 | 2007-05-16 |
| 1639645179 | Shelleyswayllc | Counselor | 50 Union Ave Ste 804b, Irvington, NJ 07111-5221 | 2018-10-23 |
| 1023556909 | Amber Dasilva | Counselor | 49 Main St, Apt. #1, Irvington, NY 10533-1568 | 2017-02-10 |
| 1750711057 | Sharmy Pierre-louis | Counselor | 260 Nesbit Ter, Irvington, NJ 07111-1773 | 2013-11-22 |
| 1699042663 | Schenike S Massie | Counselor | 21 Maple Ave, Irvington, NJ 07111-4323 | 2011-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194639 | Jackson Hoppey | Counselor | 17 Huyler Ct, Setauket, NY 11733-1307 | 2020-11-06 |
| 1760083588 | Jesus Rafael Vargas | Counselor | 918 E 222nd St, Bronx, NY 10469-1018 | 2020-11-06 |
| 1376144196 | Karina Rieke | Counselor | 29 Mersereau Ave, Mount Vernon, NY 10553-1105 | 2020-11-06 |
| 1477154540 | Rachel Steinhardt | Counselor | 2917 Avenue M Side Door, Brooklyn, NY 11210-4616 | 2020-11-05 |
| 1659972859 | Rebecca Ryan | Counselor | 8 Virginia Road, Babylon, NY 11702 | 2020-11-04 |
| 1760083992 | Michelle Stiles Lmhc Pllc | Counselor | 8306 Caughdenoy Rd, Clay, NY 13041-9165 | 2020-11-04 |
| 1114528304 | May Tang | Counselor | 7215 37th Ave Apt 6c, Jackson Heights, NY 11372-6214 | 2020-11-04 |
| 1063013191 | Clinicians of The Diaspora, LLC | Counselor | 203 W 117th St Apt 3e, New York, NY 10026-2139 | 2020-11-04 |
| 1871194464 | Tamara Sarita Manzo | Counselor | 60 N Waldinger St, Valley Stream, NY 11580-3809 | 2020-11-02 |
| 1730789389 | Willam Bernard Feehan | Counselor | 14 Sutton Pl S Apt 3b, New York, NY 10022-3109 | 2020-10-31 |
| Find all providers with the same taxonomy | ||||
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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.