MC QUEEN AND OTUYELU LCSW WELLNESS (NPI# 1427602846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427602846 |
| Entity Type | Organization |
| Organization Name | MC QUEEN AND OTUYELU LCSW WELLNESS |
| Practice Address |
941 Forest Avenue Staten Island NY 10310 |
| Mailing Address |
39 Lockman Avenue Staten Island NY 10303 |
| Practice Telephone | 3474102770 |
| Practice Fax Number | 7182734017 |
| Mailing Telephone | 3474102770 |
| Mailing Fax Number | 7182734017 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Authorized Official Name | FONUSHO O OTUYELU (CO-PARTNER) |
| Authorized Official Telephone | 3474102770 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
941 FOREST AVENUE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506027 | Sini Bijoy | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-16 |
| 1497374243 | Isabelle Mulango | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dep't of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-12 |
| 1174152839 | Yvonne Hanna | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Depatment of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-05 |
| 1588293591 | Muhammad Shaheryar Haider | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-02 |
| 1780240333 | Zeinab Mohammed Kaleemullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue Department of Psychiatry, Staten Island, NY 10310 | 2019-05-18 |
| 1164086229 | Francine Fane Foo | Student in an Organized Health Care Education/Training Program | 355 Bard Ave., Depart of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-24 |
| 1528621893 | Francis Njukeng Atemnkeng | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg, 1st Floor, Staten Island, NY 10310 | 2019-04-22 |
| 1467015966 | Anum Humayun | Student in an Organized Health Care Education/Training Program | 355 Bard Ave. Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-19 |
| 1760951842 | Syed M Faizaan Zabiullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue, Department of Medicine, Villa Building, 1st Floor,staten Island, New York, NY 10310 | 2018-11-18 |
| 1053805788 | Castleton Chemists LLC | Pharmacy | 831 Castleton Ave, Staten Island, NY 10310 | 2018-06-16 |
| Find all providers in zip 10310 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676036 | Jennifer Primiani | Social Worker | 50 Oceanic Ave, Staten Island, NY 10312-6512 | 2020-10-16 |
| 1457962482 | Jessica Ciccotto | Social Worker | 24 Turf Rd, Staten Island, NY 10314-6015 | 2020-08-13 |
| 1144844499 | Karina Tsareva | Social Worker | 90 Bay Street Lndg Apt 5f, Staten Island, NY 10301-2660 | 2020-06-02 |
| 1720609290 | Samantha Marder | Social Worker | 36 Richmond Ter Ste 205, Staten Island, NY 10301-1934 | 2020-05-06 |
| 1356970784 | Jessica Torres | Social Worker | 42 Gadsen Pl, Staten Island, NY 10314-4806 | 2020-04-07 |
| 1013541457 | Roseana Jolly | Social Worker | 425 Gansevoort Blvd, Staten Island, NY 10314-5260 | 2020-02-25 |
| 1588205835 | Natasha Slater | Social Worker | 2381 Hylan Blvd Ste 13, Staten Island, NY 10306-3145 | 2019-10-07 |
| 1427603992 | Christy Ekpe | Social Worker | 656 Targee St, Staten Island, NY 10304-3411 | 2019-08-01 |
| 1831742378 | Lindsey Celia Mcguinness | Social Worker | 46 Calvanico Ln, Staten Island, NY 10314-4730 | 2019-07-23 |
| 1013476746 | Nicholas J Gonzalez | Social Worker | 234 Cuba Ave Apt 2f, Staten Island, NY 10306-4702 | 2019-03-12 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10310 |
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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.