NOURISH YOUR MIND, LLC (NPI# 1649707555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649707555 |
| Entity Type | Organization |
| Organization Name | NOURISH YOUR MIND, LLC |
| Practice Address |
360 State Route 17m Ste 4 Monroe NY 10950-3444 |
| Practice Telephone | (845) 547-0479 |
| Practice Fax Number | 8455470479 |
| Mailing Telephone | 8455470479 |
| Mailing Fax Number | 8455470479 |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2017-05-23 |
| Authorized Official Name | JESSICA C SULLIVAN (OWNER) |
| Authorized Official Telephone | 8455470479 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
085591 | NY | Behavioral Health & Social Service Providers |
| Street Address |
360 STATE ROUTE 17M STE 4 |
| City | MONROE |
| State | NY |
| Zip Code | 10950-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467632919 | Justin Sullivan | Physical Therapist | 360 State Route 17m Ste 4, Monroe, NY 10950-3444 | 2007-11-13 |
| 1811532385 | Jessica C. Sullivan Lcsw, Pllc | Social Worker | 360 State Route 17m Ste 4, Monroe, NY 10950-3444 | 2019-11-08 |
| 1043777816 | Jeanette Rivera | Social Worker | 360 State Route 17m Ste 4, Monroe, NY 10950-3444 | 2019-02-27 |
| 1790131068 | Michelle Nagel | Social Worker | 360 State Route 17m Ste 4, Monroe, NY 10950-3444 | 2016-05-05 |
| 1144613563 | Gabrielle Fassman | Social Worker | 360 State Route 17m Ste 4, Monroe, NY 10950 | 2015-03-10 |
| 1457624298 | Justin Sullivan Pt Pllc | Physical Therapist | 360 State Route 17m Ste 4, Monroe, NY 10950-3444 | 2012-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588202063 | Tova Schur | Physician Assistant | 2 Strelisk Court, Monroe, NY 10950 | 2019-12-16 |
| 1265947238 | Brenda Ayllene Sabatello | Specialist | 126 Barr Lne, Monroe, NY 10950 | 2017-12-12 |
| 1740719038 | Heartstrings LLC | Home Health | 6 Mountain Road, Unit 204, Monroe, NY 10950 | 2017-06-08 |
| 1841739752 | Committed Home Care Inc. | Home Health | 14 Fillmore Court Unit 311, Monroe, NY 10950 | 2017-02-13 |
| 1104362813 | Alison Guiney | Case Manager/Care Coordinator | 101 Stage Road, Monroe, NY 10950 | 2017-01-19 |
| 1710436332 | Elite Services Ny Inc. | Home Health | 48 Bakertown Road Suite 204, Monroe, NY 10950 | 2016-09-23 |
| 1780047084 | Stephanie Santiago | Occupational Therapy Assistant | 27 Sandra Ln, Monroe, NY 10950 | 2016-04-04 |
| 1851770440 | Priority Home Care Services, Inc. | Home Health | 48 Bakertown Road, Suite 204, Monroe, NY 10950 | 2015-05-28 |
| 1518344274 | Mydesh Inc | Pharmacy | 581 Nys Route 17m, Monroe, NY 10950 | 2015-05-01 |
| 1942694377 | Yenty Fischel | Occupational Therapist | 1 Diner Rd, Monroe, NY 10950 | 2015-03-24 |
| Find all providers in zip 10950 | ||||
| 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 |
|---|---|---|---|---|
| 1801413406 | Tamara Blount | Social Worker | 351 E Village Dr, Monroe, NC 28112-8194 | 2020-06-30 |
| 1083246094 | Community Counseling Solutions | Social Worker | 2211 Redwood Dr, Monroe, LA 71201-3631 | 2020-02-07 |
| 1205470135 | Crystal Bradley | Social Worker | 24 Seals Dr, Monroe, NY 10950-3949 | 2019-11-04 |
| 1184270951 | Judy M Steverson | Social Worker | 1501 N Charlotte Ave Ste C214, Monroe, NC 28110-2525 | 2019-08-16 |
| 1669932117 | Christine Fuchs | Social Worker | 755 Main Street, Building 8, Monroe, CT 06468 | 2019-03-21 |
| 1073078408 | Sharelle Monique Hatley | Social Worker | 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 | 2019-02-11 |
| 1740762509 | Fox Counseling and Consulting, Pllc | Social Worker | 311 W Jefferson Street, Monroe, NC 28112 | 2018-08-29 |
| 1780101774 | Cara Bonwell-orr | Social Worker | 2242 W Roosevelt Blvd Ste G, Monroe, NC 28110-3071 | 2017-08-29 |
| 1982132718 | Support Throughout The Journey, LLC | Social Worker | 238 Monroe Tpke Unit B, Monroe, CT 06468-6200 | 2017-05-24 |
| 1124555818 | Jasmine Ashley Iannotti | Social Worker | 304 E Phifer St, Monroe, NC 28110-3039 | 2017-05-12 |
| Find all providers in MONROE | ||||
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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.