JOANNA SUPPA (NPI# 1730482415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730482415 |
| Entity Type | Individual |
| Full Name | JOANNA SUPPA |
| Credential | LCSW |
| Practice Address |
621 Elmont Rd Elmont NY 11003-4028 |
| Mailing Address |
1 Iris Ct Hicksville NY 11801-1803 |
| Practice Telephone | 5166160671 |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2013-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 080407 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
080795 | NY | Behavioral Health & Social Service Providers |
| Street Address |
621 ELMONT RD |
| City | ELMONT |
| State | NY |
| Zip Code | 11003-4028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043850084 | Alexandra Lynn Girardi | Social Worker | 621 Elmont Rd, Elmont, NY 11003-4028 | 2020-01-07 |
| 1326408469 | Martin De Porres School for Exceptional Children, Inc. | Foster Care Agency | 621 Elmont Rd, Elmont, NY 11003-4028 | 2016-03-02 |
| 1922402155 | Jennifer King | Social Worker | 621 Elmont Rd, Elmont, NY 11003-4028 | 2014-10-17 |
| 1780019711 | Christine Montemarano | Social Worker | 621 Elmont Rd, Elmont, NY 11003-4028 | 2013-09-10 |
| 1114350782 | Marilyn Ann Soeder | Social Worker | 621 Elmont Rd, Elmont, NY 11003-4028 | 2013-08-18 |
| 1841578150 | Alison Bancroft Komorowski | Speech-Language Pathologist | 621 Elmont Rd, Elmont, NY 11003-4028 | 2011-08-03 |
| 1790077329 | Catherine Dambrose | Social Worker | 621 Elmont Rd, Elmont, NY 11003-4028 | 2011-05-16 |
| 1013217587 | Gladstone Nathaniel Marshall | Social Worker | 621 Elmont Rd, Elmont, NY 11003-4028 | 2010-10-29 |
| 1164722773 | Cindy Varghese | Social Worker | 621 Elmont Rd, Elmont, NY 11003-4028 | 2010-10-29 |
| 1649580861 | Martin De Porres | Social Worker | 621 Elmont Rd, Elmont, NY 11003-4028 | 2010-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134082 | Remarkable Prosthetics & Orthotics Inc | Orthotist | 1763-1765 Dutch Broadway, Suite 2, Elmont, NY 11003 | 2020-11-06 |
| 1821516089 | Claude Estinville | Licensed Practical Nurse | 158 Elzey Ave, Elmont, NY 11003 | 2017-09-07 |
| 1902341480 | Wisline Fils-siffrant | Licensed Practical Nurse | 39 Sterling Rd, Elmont, NY 11003 | 2016-12-20 |
| 1588019590 | Rose Marie Holmes | Nurse Practitioner | 196 Geldmere Street, Elmont, NY 11003 | 2016-04-27 |
| 1215395819 | Dominique Schlosser | Licensed Practical Nurse | 72 Element Ave, Elmont, NY 11003 | 2016-02-10 |
| 1043675390 | Gerda Lamothe, LLC | Nurse Practitioner | 51 Essex Rd, Elmont, NY 11003 | 2015-12-30 |
| 1013389006 | Dragonfly Cognitive Development and Consulting LLC | Early Intervention Provider Agency | 518 Froelich Place, Elmont, NY 11003 | 2015-10-29 |
| 1659754372 | Lorna Treasure-stanford | Specialist | 288 Doherty Ave, Elmont, NY 11003 | 2015-06-30 |
| 1518348069 | Danna Antoine | Licensed Practical Nurse | 785 Lenore Ln, Elmont, NY 11003 | 2015-06-10 |
| 1578952123 | Ronald Barry Roth | Dentist | 1810 Harriet Street, Elmont, NY 11003 | 2015-01-21 |
| Find all providers in zip 11003 | ||||
| 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 |
|---|---|---|---|---|
| 1114527934 | Mindful Proverbs Consultation Lcsw, Pllc | Social Worker | 119 Hoffman Ave, Elmont, NY 11003-2905 | 2020-10-30 |
| 1467007039 | Yolanda Ellis-butler | Social Worker | 39 Amethyst St, Elmont, NY 11003-3601 | 2019-08-09 |
| 1497211817 | Lavona Cassimy | Social Worker | 438 Oakley Ave, Elmont, NY 11003-3239 | 2019-02-11 |
| 1336614585 | Frieda Roseanna Omezi | Social Worker | 176 Rockmart Ave # Pvh, Elmont, NY 11003-1732 | 2018-10-03 |
| 1588093702 | Michelle Eubanks-reshard | Social Worker | 89 Queens Ave, Elmont, NY 11003-4338 | 2013-11-07 |
| 1194037747 | Rajeev Singh | Social Worker | 1483 Marshall St, Elmont, NY 11003-1331 | 2010-07-12 |
| 1861671497 | Nancy J Ryan | Social Worker | 40 Elmont Rd, Elmont, NY 11003-1603 | 2007-10-31 |
| 1033305099 | Kelley Renae Hodgesharrell | Social Worker | 28 Opal St, Elmont, NY 11003-4305 | 2007-09-23 |
| 1295890580 | Magaly Polo | Social Worker | 117 Belmont Ave, Elmont, NY 11003-2946 | 2006-12-27 |
| 1063599611 | Hurguens A Jasmin | Social Worker | 269 S King St, Elmont, NY 11003-4234 | 2006-11-01 |
| Find all providers in ELMONT | ||||
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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.